POUCH,URINARY POST-OP NU-HOPE #8362 (18465)    VA PRODUCT (50.68)

Name Value
NAME POUCH,URINARY POST-OP NU-HOPE #8362
VA GENERIC NAME BAG
DOSAGE FORM POUCH
NATIONAL FORMULARY NAME BAG 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,URINARY POST-OP NU-HOPE #8362
VA PRODUCT IDENTIFIER XV339
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4026265
EFFECTIVE DATE/TIME
  • 2007-08-30 00:00:00
    STATUS:   ACTIVE