LEG BAG COMBINATION PACK H#9825 (12939)    VA PRODUCT (50.68)

Name Value
NAME LEG BAG COMBINATION PACK H#9825
VA GENERIC NAME BAG
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME BAG MISCELLANEOUS
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 LEG BAG COMBINATION PACK H#9825
VA PRODUCT IDENTIFIER XX555
TRANSMIT TO CMOP NO
VA DISPENSE UNIT PKG
MASTER ENTRY FOR VUID YES
VUID 4013304
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE