VALVE,ENFIT,LOPEZ ENTERAL,ICU MEDICAL #9000-EF (28220)    VA PRODUCT (50.68)

Name Value
NAME VALVE,ENFIT,LOPEZ ENTERAL,ICU MEDICAL #9000-EF
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:   2018-03-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME VALVE,ENFIT,LOPEZ ENTERAL #9000-EF
VA PRODUCT IDENTIFIER XJ174
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037204
EFFECTIVE DATE/TIME
  • 2018-01-11 00:00:00
    STATUS:   ACTIVE