CAP,NEEDLELESS IV BRAUN R2000B (29485)    VA PRODUCT (50.68)

Name Value
NAME CAP,NEEDLELESS IV BRAUN R2000B
VA GENERIC NAME CAP
DOSAGE FORM CAP/INJ
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME CAP CAP/INJ
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2019-08-28 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME CAP,NEEDLELESS IV BRAUN R2000B
VA PRODUCT IDENTIFIER XJ762
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4038656
EFFECTIVE DATE/TIME
  • 2019-08-29 00:00:00
    STATUS:   ACTIVE