ULTRASOUND,PAINSHIELD MD (32614)    VA PRODUCT (50.68)

Name Value
NAME ULTRASOUND,PAINSHIELD MD
VA GENERIC NAME ULTRASOUND
DOSAGE FORM MISCELLANEOUS
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME ULTRASOUND MISCELLANEOUS
CREATE DEFAULT POSSIBLE DOSAGE YES
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2023-04-05 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME ULTRASOUND,PAINSHIELD MD
VA PRODUCT IDENTIFIER XL504
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4042144
EFFECTIVE DATE/TIME
  • 2023-04-05 00:00:00
    STATUS:   ACTIVE