STOPPER,STOMA 8FR MTG#ACE08 (32021)    VA PRODUCT (50.68)

Name Value
NAME STOPPER,STOMA 8FR MTG#ACE08
VA GENERIC NAME SUPPLY
DOSAGE FORM DEVICE
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME SUPPLY DEVICE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2022-06-02 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME STOPPER,STOMA 8FR MTG#ACE08
VA PRODUCT IDENTIFIER XL222
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4041474
EFFECTIVE DATE/TIME
  • 2022-06-03 00:00:00
    STATUS:   ACTIVE