ELECTRODE,PATCH TAPE 3IN X 3IN CARDINAL#MT70040 (30495)    VA PRODUCT (50.68)

Name Value
NAME ELECTRODE,PATCH TAPE 3IN X 3IN CARDINAL#MT70040
VA GENERIC NAME ELECTRODE
DOSAGE FORM MISCELLANEOUS
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME ELECTRODE MISCELLANEOUS
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2020-10-23 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME ELECTRODE,PATCH TAPE 3IN X 3IN C#MT70040
VA PRODUCT IDENTIFIER XK258
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4039794
EFFECTIVE DATE/TIME
  • 2020-10-26 00:00:00
    STATUS:   ACTIVE
  • 2020-10-26 00:00:00
    STATUS:   ACTIVE
  • 2020-10-26 00:00:00
    STATUS:   ACTIVE