ADAPTER,FEEDING,20F ENFIT HALYARD #8135-20 (28537)    VA PRODUCT (50.68)

Name Value
NAME ADAPTER,FEEDING,20F ENFIT HALYARD #8135-20
VA GENERIC NAME ADAPTER
DOSAGE FORM DEVICE
NATIONAL FORMULARY NAME ADAPTER DEVICE
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 ADAPTER,FEED 20F ENFIT HALYARD #8135-20
VA PRODUCT IDENTIFIER XJ332
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037559
EFFECTIVE DATE/TIME
  • 2018-05-24 00:00:00
    STATUS:   ACTIVE
  • 2018-05-24 00:00:00
    STATUS:   ACTIVE