STOPCOCK,4-WAY CARDINAL #552C6204 (26668)    VA PRODUCT (50.68)

Name Value
NAME STOPCOCK,4-WAY CARDINAL #552C6204
VA GENERIC NAME VALVE
DOSAGE FORM DEVICE
NATIONAL FORMULARY NAME VALVE DEVICE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME STOPCOCK,4-WAY CARDINAL #552C6204
VA PRODUCT IDENTIFIER XI444
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4035504
EFFECTIVE DATE/TIME
  • 2016-03-15 00:00:00
    STATUS:   ACTIVE