ADAPTER,VALVED TEE 22MM THAYER #1009 (31032)    VA PRODUCT (50.68)

Name Value
NAME ADAPTER,VALVED TEE 22MM THAYER #1009
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:   2021-04-19 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME ADAPTER,VALVED TEE 22MM THAYER #1009
VA PRODUCT IDENTIFIER XK613
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040376
EFFECTIVE DATE/TIME
  • 2021-04-20 00:00:00
    STATUS:   ACTIVE
  • 2021-04-20 00:00:00
    STATUS:   ACTIVE
  • 2021-04-20 00:00:00
    STATUS:   ACTIVE