NIOV NASAL PILLOWS,LG #BT-60-0004 (26973)    VA PRODUCT (50.68)

Name Value
NAME NIOV NASAL PILLOWS,LG #BT-60-0004
VA GENERIC NAME NIOV
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME NIOV MISCELLANEOUS
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
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 NIOV NASAL PILLOWS LG #BT-60-0004
VA PRODUCT IDENTIFIER XI583
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4035834
EFFECTIVE DATE/TIME
  • 2016-06-24 00:00:00
    STATUS:   ACTIVE