CLAMP,WIESNER MALE INCONTINENCE (28390)    VA PRODUCT (50.68)

Name Value
NAME CLAMP,WIESNER MALE INCONTINENCE
VA GENERIC NAME CLAMP
DOSAGE FORM CLAMP
NATIONAL FORMULARY NAME CLAMP CLAMP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2018-05-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME CLAMP,WIESNER MALE INCONTINENCE
VA PRODUCT IDENTIFIER XJ257
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037400
EFFECTIVE DATE/TIME
  • 2018-03-27 00:00:00
    STATUS:   ACTIVE