CLAMP,BAG NU-HOPE #2548 (29970)    VA PRODUCT (50.68)

Name Value
NAME CLAMP,BAG NU-HOPE #2548
VA GENERIC NAME CLAMP,BAG
DOSAGE FORM CLAMP
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME CLAMP,BAG CLAMP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2020-02-25 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME CLAMP,BAG NU-HOPE #2548
VA PRODUCT IDENTIFIER XJ992
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4039196
EFFECTIVE DATE/TIME
  • 2020-02-25 00:00:00
    STATUS:   ACTIVE