SYRINGE 10-12ML LUER LOCK SILICONE-FREE (28263)    VA PRODUCT (50.68)

Name Value
NAME SYRINGE 10-12ML LUER LOCK SILICONE-FREE
VA GENERIC NAME SYRINGE
DOSAGE FORM SYRINGE
NATIONAL FORMULARY NAME SYRINGE SYRINGE
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 SYRINGE 10-12ML LUER LOCK SILICONE-FREE
VA PRODUCT IDENTIFIER XJ192
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037252
EFFECTIVE DATE/TIME
  • 2018-01-26 00:00:00
    STATUS:   ACTIVE