CATHETER,EXTERNAL INTERMED. ROCHESTER #36303/36103 (14661)    VA PRODUCT (50.68)

Name Value
NAME CATHETER,EXTERNAL INTERMED. ROCHESTER #36303/36103
VA GENERIC NAME CATHETER
DOSAGE FORM CATHETER
NATIONAL FORMULARY NAME CATHETER CATHETER
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 CATHETER,EXTERNAL INTER ROCH#36303/36103
VA PRODUCT IDENTIFIER XY906
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4015025
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE