NEBULIZER,THERA-MIST BARREL P30000N (29463)    VA PRODUCT (50.68)

Name Value
NAME NEBULIZER,THERA-MIST BARREL P30000N
VA GENERIC NAME NEBULIZER
DOSAGE FORM KIT
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME NEBULIZER KIT
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2019-08-15 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME NEBULIZER,THERA-MIST BARREL P30000N
VA PRODUCT IDENTIFIER XJ745
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4038634
EFFECTIVE DATE/TIME
  • 2019-08-16 00:00:00
    STATUS:   ACTIVE
  • 2019-08-16 00:00:00
    STATUS:   ACTIVE