LEG BAG H#9834 (11867)    VA PRODUCT (50.68)

Name Value
NAME LEG BAG H#9834
VA GENERIC NAME BAG
DOSAGE FORM BAG
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 1999-02-03 00:00:00
DSS NUMBER 43
NATIONAL FORMULARY NAME BAG BAG
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 LEG BAG H#9834
VA PRODUCT IDENTIFIER XX069
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4012233
EFFECTIVE DATE/TIME
  • 1999-02-03 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE