| NAME |
BELT,OSTOMY,ADJUSTABLE COLOPLAST #4215 |
| VA GENERIC NAME |
BELT,OSTOMY |
| DOSAGE FORM |
BELT |
| HAZARDOUS TO DISPOSE |
NO |
| NATIONAL FORMULARY NAME |
BELT,OSTOMY BELT |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2021-11-24 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
BELT,OSTOMY,ADJUSTABLE C#4215 |
| VA PRODUCT IDENTIFIER |
XK953 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4040978 |
| EFFECTIVE DATE/TIME |
-
- 2021-11-26 00:00:00
- STATUS: ACTIVE
|
