CLAMP,PINCH SIDE-LOAD QOSINA #13020 (32451)    VA PRODUCT (50.68)

Name Value
NAME CLAMP,PINCH SIDE-LOAD QOSINA #13020
VA GENERIC NAME CLAMP
DOSAGE FORM CLAMP
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME CLAMP CLAMP
CREATE DEFAULT POSSIBLE DOSAGE YES
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2023-01-13 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME CLAMP,PINCH SIDE-LOAD QOSINA #13020
VA PRODUCT IDENTIFIER XL434
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4041963
EFFECTIVE DATE/TIME
  • 2023-01-13 00:00:00
    STATUS:   ACTIVE