SHOWER COVER ELBOW/KNEE LARGE (28392)    VA PRODUCT (50.68)

Name Value
NAME SHOWER COVER ELBOW/KNEE LARGE
VA GENERIC NAME SUPPLY
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME SUPPLY MISCELLANEOUS
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 SHOWER COVER ELBOW/KNEE LARGE
VA PRODUCT IDENTIFIER XJ253
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037390
EFFECTIVE DATE/TIME
  • 2018-03-27 00:00:00
    STATUS:   ACTIVE