ICE BAG,LARGE (11881)    VA PRODUCT (50.68)

Name Value
NAME ICE BAG,LARGE
VA GENERIC NAME BAG
DOSAGE FORM BAG
CS FEDERAL SCHEDULE Unscheduled
DSS NUMBER 57
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 ICE BAG LARGE
VA PRODUCT IDENTIFIER XX453
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4012247
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE