ACCESS,ADAPTER CHAIT COOK #CTU-10.0-18-CAA (31105)    VA PRODUCT (50.68)

Name Value
NAME ACCESS,ADAPTER CHAIT COOK #CTU-10.0-18-CAA
VA GENERIC NAME ADAPTER
DOSAGE FORM MISCELLANEOUS
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME ADAPTER MISCELLANEOUS
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-05-10 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME ACCESS,ADAPTER CHAIT C#CTU-10.0-18-C
VA PRODUCT IDENTIFIER XK663
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040457
EFFECTIVE DATE/TIME
  • 2021-05-11 00:00:00
    STATUS:   ACTIVE
  • 2021-05-11 00:00:00
    STATUS:   ACTIVE
  • 2021-05-11 00:00:00
    STATUS:   ACTIVE