BAG,LEG CONVEEN #5170 (11874)    VA PRODUCT (50.68)

Name Value
NAME BAG,LEG CONVEEN #5170
VA GENERIC NAME BAG
DOSAGE FORM BAG
CS FEDERAL SCHEDULE Unscheduled
DSS NUMBER 50
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 BAG,LEG CONVEEN #5170
VA PRODUCT IDENTIFIER XX251
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4012240
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE