FILTER,BACTERIA CA 70 #1046860 (30552)    VA PRODUCT (50.68)

Name Value
NAME FILTER,BACTERIA CA 70 #1046860
VA GENERIC NAME FILTER
DOSAGE FORM MISCELLANEOUS
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME FILTER MISCELLANEOUS
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2020-11-20 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME FILTER,BACTERIA CA 70 #1046860
VA PRODUCT IDENTIFIER XK286
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4039854
EFFECTIVE DATE/TIME
  • 2020-11-20 00:00:00
    STATUS:   ACTIVE
  • 2020-11-20 00:00:00
    STATUS:   ACTIVE
  • 2020-11-20 00:00:00
    STATUS:   ACTIVE