MASK,PROCEDURE RECTANGULAR ASTM LEVEL 1-2 (30381)    VA PRODUCT (50.68)

Name Value
NAME MASK,PROCEDURE RECTANGULAR ASTM LEVEL 1-2
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:   2020-09-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME MASK,PROCEDURE RECTANGULAR ASTM LEVEL1-2
VA PRODUCT IDENTIFIER XK222
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4039679
EFFECTIVE DATE/TIME
  • 2020-09-03 00:00:00
    STATUS:   ACTIVE
  • 2020-09-03 00:00:00
    STATUS:   ACTIVE
  • 2020-09-03 00:00:00
    STATUS:   ACTIVE