CATHETER BALLOON SILASTIC 16FR 5CC (11371)    VA PRODUCT (50.68)

Name Value
NAME CATHETER BALLOON SILASTIC 16FR 5CC
VA GENERIC NAME CATHETER
DOSAGE FORM MISCELLANEOUS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2000-02-01 00:00:00
DSS NUMBER 17
NATIONAL FORMULARY NAME CATHETER MISCELLANEOUS
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 CATHETER,FOLEY SILICONE 16FR 5CC
VA PRODUCT IDENTIFIER XC061
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4011744
EFFECTIVE DATE/TIME
  • 2000-02-01 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE