STOPCOCK,4-WAY BD #M4018 (28329)    VA PRODUCT (50.68)

Name Value
NAME STOPCOCK,4-WAY BD #M4018
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:   2018-04-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME STOPCOCK,4-WAY BD M#4018
VA PRODUCT IDENTIFIER XJ225
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037325
EFFECTIVE DATE/TIME
  • 2018-02-22 00:00:00
    STATUS:   ACTIVE