IRRIGATOR DRAIN,NEW IMAGE H#18153 (15538)    VA PRODUCT (50.68)

Name Value
NAME IRRIGATOR DRAIN,NEW IMAGE H#18153
VA GENERIC NAME IRRIGATOR DRAIN
DOSAGE FORM DRAIN
NATIONAL FORMULARY NAME IRRIGATOR DRAIN DRAIN
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 IRRIGATOR DRAIN,NEW IMAGE H#18153
VA PRODUCT IDENTIFIER XZ335
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4015901
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE