NIGHT DRAIN KIT MARLEN (12012)    VA PRODUCT (50.68)

Name Value
NAME NIGHT DRAIN KIT MARLEN
VA GENERIC NAME DRAIN
DOSAGE FORM KIT
CS FEDERAL SCHEDULE Unscheduled
DSS NUMBER 2
NATIONAL FORMULARY NAME DRAIN KIT
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 NIGHT DRAIN KIT MARLEN
VA PRODUCT IDENTIFIER XN005
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4012378
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE