KIT PREP OF TECHNETUM TC-99 MEBROFENIN INJ (29132)    VA PRODUCT (50.68)

Name Value
NAME KIT PREP OF TECHNETUM TC-99 MEBROFENIN INJ
VA GENERIC NAME TECHNETIUM
DOSAGE FORM KIT
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME TECHNETIUM KIT
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2019-03-22 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME KIT PREP OF TECHNETUM TC-99 MEBROFENIN
VA PRODUCT IDENTIFIER K0076
TRANSMIT TO CMOP NO
VA DISPENSE UNIT KIT
MASTER ENTRY FOR VUID YES
VUID 4038260
EFFECTIVE DATE/TIME
  • 2019-03-22 00:00:00
    STATUS:   ACTIVE