POUCH,UROSTOMY H#3902 (10902)    VA PRODUCT (50.68)

Name Value
NAME POUCH,UROSTOMY H#3902
VA GENERIC NAME POUCH,UROSTOMY
DOSAGE FORM POUCH
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2021-07-15 00:00:00
DSS NUMBER 51
NATIONAL FORMULARY NAME POUCH,UROSTOMY POUCH
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME POUCH,UROSTOMY H#3902
VA PRODUCT IDENTIFIER XS475
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4011275
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2021-07-15 00:00:00
    STATUS:   INACTIVE
  • 2021-07-15 00:00:00
    STATUS:   INACTIVE
  • 2021-07-15 00:00:00
    STATUS:   INACTIVE