POUCH,OSTOMY H#8817 (13139)    VA PRODUCT (50.68)

Name Value
NAME POUCH,OSTOMY H#8817
VA GENERIC NAME POUCH,OSTOMY
DOSAGE FORM POUCH
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2001-03-29 00:00:00
NATIONAL FORMULARY NAME POUCH,OSTOMY POUCH
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 POUCH,OSTOMY H#8817
VA PRODUCT IDENTIFIER XX667
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4013504
EFFECTIVE DATE/TIME
  • 2001-03-29 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE