CAP,J-TUBE,LUER-LOK (28497)    VA PRODUCT (50.68)

Name Value
NAME CAP,J-TUBE,LUER-LOK
VA GENERIC NAME CAP
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME CAP MISCELLANEOUS
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2018-06-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME CAP,J-TUBE LUER-LOK
VA PRODUCT IDENTIFIER XJ309
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037518
EFFECTIVE DATE/TIME
  • 2018-05-09 00:00:00
    STATUS:   ACTIVE