VALVE,LOPEZ ENTERAL,ICU MEDICAL #9000-S (28160)    VA PRODUCT (50.68)

Name Value
NAME VALVE,LOPEZ ENTERAL,ICU MEDICAL #9000-S
VA GENERIC NAME VALVE
DOSAGE FORM DEVICE
NATIONAL FORMULARY NAME VALVE DEVICE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2018-01-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME VALVE,LOPEZ ENTERAL,ICU MEDICAL #9000-S
VA PRODUCT IDENTIFIER XJ145
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037147
EFFECTIVE DATE/TIME
  • 2017-12-07 00:00:00
    STATUS:   ACTIVE