BAG,LEG RELIAMED #ZRLB600R (28664)    VA PRODUCT (50.68)

Name Value
NAME BAG,LEG RELIAMED #ZRLB600R
VA GENERIC NAME BAG,LEG
DOSAGE FORM BAG
NATIONAL FORMULARY NAME BAG,LEG BAG
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2018-07-30 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BAG,LEG RELIAMED #ZRLB600R
VA PRODUCT IDENTIFIER XJ393
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037702
EFFECTIVE DATE/TIME
  • 2018-07-31 00:00:00
    STATUS:   ACTIVE