CATHETER,EXTERNAL X-LARGE ROCHESTER #36305/36105 (14663)    VA PRODUCT (50.68)

Name Value
NAME CATHETER,EXTERNAL X-LARGE ROCHESTER #36305/36105
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 X-LRG ROCH#36305/36105
VA PRODUCT IDENTIFIER XY908
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4015027
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE