ENFIT,FEMALE,NON-VENTED CAP #40015 (31470)    VA PRODUCT (50.68)

Name Value
NAME ENFIT,FEMALE,NON-VENTED CAP #40015
VA GENERIC NAME SUPPLY
DOSAGE FORM MISCELLANEOUS
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME SUPPLY MISCELLANEOUS
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-10-13 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME ENFIT,FEMALE,NON-VENTED CAP #40015
VA PRODUCT IDENTIFIER XK885
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040868
EFFECTIVE DATE/TIME
  • 2021-10-14 00:00:00
    STATUS:   ACTIVE
  • 2021-10-14 00:00:00
    STATUS:   ACTIVE
  • 2021-10-14 00:00:00
    STATUS:   ACTIVE
  • 2021-10-14 00:00:00
    STATUS:   ACTIVE