ELECTRODE PAD,PROBE AS#PEP (28267)    VA PRODUCT (50.68)

Name Value
NAME ELECTRODE PAD,PROBE AS#PEP
VA GENERIC NAME ELECTRODE
DOSAGE FORM PAD
NATIONAL FORMULARY NAME ELECTRODE PAD
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 ELECTRODE PAD,PROBE AS#PEP
VA PRODUCT IDENTIFIER XJ195
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037255
EFFECTIVE DATE/TIME
  • 2018-01-29 00:00:00
    STATUS:   ACTIVE