ELECTRODE GEL,H-WAVE (31372)    VA PRODUCT (50.68)

Name Value
NAME ELECTRODE GEL,H-WAVE
VA GENERIC NAME SUPPLY
DOSAGE FORM GEL
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME SUPPLY GEL
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-08-17 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME ELECTRODE GEL,H-WAVE
VA PRODUCT IDENTIFIER XK826
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4040753
EFFECTIVE DATE/TIME
  • 2021-08-17 00:00:00
    STATUS:   ACTIVE
  • 2021-08-17 00:00:00
    STATUS:   ACTIVE