PLEURX VALVE CAP BD#50-7235 (28222)    VA PRODUCT (50.68)

Name Value
NAME PLEURX VALVE CAP BD#50-7235
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:   2018-03-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME PLEURX VALVE CAP BD#50-7235
VA PRODUCT IDENTIFIER XJ176
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037206
EFFECTIVE DATE/TIME
  • 2018-01-11 00:00:00
    STATUS:   ACTIVE