CLAMP,DEVICE,FEEDING AMT#43000 (28345)    VA PRODUCT (50.68)

Name Value
NAME CLAMP,DEVICE,FEEDING AMT#43000
VA GENERIC NAME CLAMP
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME CLAMP MISCELLANEOUS
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 CLAMP,DEVICE,FEEDING AMT#43000
VA PRODUCT IDENTIFIER XJ237
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037346
EFFECTIVE DATE/TIME
  • 2018-03-01 00:00:00
    STATUS:   ACTIVE