COLLY-SEEL DISC 3 1/2IN M#218W (27228)    VA PRODUCT (50.68)

Name Value
NAME COLLY-SEEL DISC 3 1/2IN M#218W
VA GENERIC NAME DISC
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME DISC MISCELLANEOUS
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 COLLY-SEEL DISC 3 1/2IN MASON #218W
VA PRODUCT IDENTIFIER XI703
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4036118
EFFECTIVE DATE/TIME
  • 2016-10-18 00:00:00
    STATUS:   ACTIVE