CATHETER,EXTERNAL GOLDEN DRAIN LG #A1400 (11409)    VA PRODUCT (50.68)

Name Value
NAME CATHETER,EXTERNAL GOLDEN DRAIN LG #A1400
VA GENERIC NAME CATHETER
DOSAGE FORM CATHETER
CS FEDERAL SCHEDULE Unscheduled
DSS NUMBER 55
NATIONAL FORMULARY NAME CATHETER CATHETER
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,EXTERNAL GOLDEN DRAIN LG #A1400
VA PRODUCT IDENTIFIER XC022
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4011782
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE