SET,INFUSION MINIMED #MMT-368 (28520)    VA PRODUCT (50.68)

Name Value
NAME SET,INFUSION MINIMED #MMT-368
VA GENERIC NAME SET,INFUSION
DOSAGE FORM SET,INFUSION
NATIONAL FORMULARY NAME SET,INFUSION SET,INFUSION
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 SET,INFUSION MINIMED #MMT-368
VA PRODUCT IDENTIFIER XJ325
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037535
EFFECTIVE DATE/TIME
  • 2018-05-11 00:00:00
    STATUS:   ACTIVE