KIT PREP OF TECHNETUM TC-99 PYROPHOSHATE INJ (27764)    VA PRODUCT (50.68)

Name Value
NAME KIT PREP OF TECHNETUM TC-99 PYROPHOSHATE INJ
VA GENERIC NAME TECHNETIUM
DOSAGE FORM KIT
NATIONAL FORMULARY NAME TECHNETIUM KIT
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-07-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME KIT PREP OF TECHNETUM TC-99 PYROPHOS
VA PRODUCT IDENTIFIER K0068
TRANSMIT TO CMOP NO
VA DISPENSE UNIT KIT
MASTER ENTRY FOR VUID YES
VUID 4036718
EFFECTIVE DATE/TIME
  • 2017-06-02 00:00:00
    STATUS:   ACTIVE