MASK,PROCEDURE RECTANGULAR ASTM LEVEL 2 (30317)    VA PRODUCT (50.68)

Name Value
NAME MASK,PROCEDURE RECTANGULAR ASTM LEVEL 2
VA GENERIC NAME MASK
DOSAGE FORM MASK
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME MASK MASK
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2020-08-06 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME MASK,PROCEDURE RECTANGULAR ASTM LEVEL 2
VA PRODUCT IDENTIFIER XK180
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4039590
EFFECTIVE DATE/TIME
  • 2020-08-06 00:00:00
    STATUS:   ACTIVE
  • 2020-08-06 00:00:00
    STATUS:   ACTIVE