AUTOINJECTOR, BETACONNECT (26805)    VA PRODUCT (50.68)

Name Value
NAME AUTOINJECTOR, BETACONNECT
VA GENERIC NAME INJECTOR
DOSAGE FORM DEVICE
NATIONAL FORMULARY NAME INJECTOR 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 AUTOINJECTOR, BETACONNECT
VA PRODUCT IDENTIFIER XI516
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4035653
EFFECTIVE DATE/TIME
  • 2016-04-29 00:00:00
    STATUS:   ACTIVE