ADAPTER,FEEDING,MONOJET ENFIT CARDINAL #4699E (30928)    VA PRODUCT (50.68)

Name Value
NAME ADAPTER,FEEDING,MONOJET ENFIT CARDINAL #4699E
VA GENERIC NAME ADAPTER
DOSAGE FORM DEVICE
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME ADAPTER DEVICE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-03-25 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME ADAPTER,FEEDING,MONOJET ENFIT CARD#4699E
VA PRODUCT IDENTIFIER XK546
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040266
EFFECTIVE DATE/TIME
  • 2021-03-25 00:00:00
    STATUS:   ACTIVE
  • 2021-03-25 00:00:00
    STATUS:   ACTIVE
  • 2021-03-25 00:00:00
    STATUS:   ACTIVE