TAIL CLOSURE,STRAIGHT C#1756-35 (27993)    VA PRODUCT (50.68)

Name Value
NAME TAIL CLOSURE,STRAIGHT C#1756-35
VA GENERIC NAME SUPPLY
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME SUPPLY MISCELLANEOUS
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-12-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TAIL CLOSURE,STRAIGHT C#1756-35
VA PRODUCT IDENTIFIER XJ050
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4036968
EFFECTIVE DATE/TIME
  • 2017-10-30 00:00:00
    STATUS:   ACTIVE