BELT,OSTOMY,ADJUSTABLE COLOPLAST #4220 (31383)    VA PRODUCT (50.68)

Name Value
NAME BELT,OSTOMY,ADJUSTABLE COLOPLAST #4220
VA GENERIC NAME BELT
DOSAGE FORM BELT
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME BELT BELT
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-08-25 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BELT,OSTOMY,ADJUSTABLE COLOPLAST #4220
VA PRODUCT IDENTIFIER XK836
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040767
EFFECTIVE DATE/TIME
  • 2021-08-26 00:00:00
    STATUS:   ACTIVE
  • 2021-08-26 00:00:00
    STATUS:   ACTIVE