ELECTRODE GEL,LASER TOUCH ONE (32111)    VA PRODUCT (50.68)

Name Value
NAME ELECTRODE GEL,LASER TOUCH ONE
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:   2022-07-11 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME ELECTRODE GEL,LASER TOUCH ONE
VA PRODUCT IDENTIFIER XL266
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4041568
EFFECTIVE DATE/TIME
  • 2022-07-11 00:00:00
    STATUS:   ACTIVE