BAG,LEG CONVEEN #5171 (11875)    VA PRODUCT (50.68)

Name Value
NAME BAG,LEG CONVEEN #5171
VA GENERIC NAME BAG
DOSAGE FORM BAG
CS FEDERAL SCHEDULE Unscheduled
DSS NUMBER 51
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 #5171
VA PRODUCT IDENTIFIER XX252
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4012241
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE