| NAME |
IV SET PRIMARY,NON-VENTED CME #76-8150 |
| VA GENERIC NAME |
SET,INFUSION |
| DOSAGE FORM |
SET,INFUSION |
| HAZARDOUS TO DISPOSE |
NO |
| NATIONAL FORMULARY NAME |
SET,INFUSION SET,INFUSION |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2020-06-17 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
IV SET PRIMARY,NON-VENTED CME #76-8150 |
| VA PRODUCT IDENTIFIER |
XK122 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4039470 |
| EFFECTIVE DATE/TIME |
-
- 2020-06-18 00:00:00
- STATUS: ACTIVE
|
