DOUCHE,REUSABLE KIT (12321)    VA PRODUCT (50.68)

Name Value
NAME DOUCHE,REUSABLE KIT
VA GENERIC NAME SUPPLY
DOSAGE FORM KIT
CS FEDERAL SCHEDULE Unscheduled
DSS NUMBER 66
NATIONAL FORMULARY NAME SUPPLY 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 DOUCHE,REUSABLE KIT
VA PRODUCT IDENTIFIER XX445
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4012687
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE