VISTASEAL TWO COMPONENT FIBRIN SEALANT KIT 2ML (30450)    VA PRODUCT (50.68)

Name Value
NAME VISTASEAL TWO COMPONENT FIBRIN SEALANT KIT 2ML
VA GENERIC NAME VISTASEAL
DOSAGE FORM KIT
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
NATIONAL FORMULARY NAME VISTASEAL KIT
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2020-10-08 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME VISTASEAL 2-COMPONENT KIT 2ML
VA PRODUCT IDENTIFIER V0319
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4039747
EFFECTIVE DATE/TIME
  • 2020-10-08 00:00:00
    STATUS:   ACTIVE
  • 2020-10-08 00:00:00
    STATUS:   ACTIVE
  • 2020-10-08 00:00:00
    STATUS:   ACTIVE