ADAPTER,CATHETER/SYRINGE #21627010 (28641)    VA PRODUCT (50.68)

Name Value
NAME ADAPTER,CATHETER/SYRINGE #21627010
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:   2018-07-16 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME ADAPTER,CATHETER/SYRINGE #21627010
VA PRODUCT IDENTIFIER XJ378
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037670
EFFECTIVE DATE/TIME
  • 2018-07-16 00:00:00
    STATUS:   ACTIVE