IRRIGATOR DRAIN H#3822 (12015)    VA PRODUCT (50.68)

Name Value
NAME IRRIGATOR DRAIN H#3822
VA GENERIC NAME DRAIN
DOSAGE FORM DRAIN
CS FEDERAL SCHEDULE Unscheduled
DSS NUMBER 5
NATIONAL FORMULARY NAME DRAIN DRAIN
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 IRRIGATOR DRAIN H#3822
VA PRODUCT IDENTIFIER XI019
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4012381
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE