SPECIMEN CONTAINER STERILE 120ML (27544)    VA PRODUCT (50.68)

Name Value
NAME SPECIMEN CONTAINER STERILE 120ML
VA GENERIC NAME CONTAINER
DOSAGE FORM CONTAINER
NATIONAL FORMULARY NAME CONTAINER CONTAINER
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-05-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME SPECIMEN CONTAINER STERILE 120ML
VA PRODUCT IDENTIFIER XI880
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4036461
EFFECTIVE DATE/TIME
  • 2017-03-09 00:00:00
    STATUS:   ACTIVE