CONNECTOR,LOW VOLUME,ENFIT MOOG INFINITY (28015)    VA PRODUCT (50.68)

Name Value
NAME CONNECTOR,LOW VOLUME,ENFIT MOOG INFINITY
VA GENERIC NAME CONNECTOR
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME CONNECTOR 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 CONNECTOR,LOW VOLUME,ENFIT MOOG INFINITY
VA PRODUCT IDENTIFIER XJ082
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037003
EFFECTIVE DATE/TIME
  • 2017-10-30 00:00:00
    STATUS:   ACTIVE