IRRIGATION KIT BARD #750301 (18627)    VA PRODUCT (50.68)

Name Value
NAME IRRIGATION KIT BARD #750301
VA GENERIC NAME IRRIGATION KIT
DOSAGE FORM KIT
NATIONAL FORMULARY NAME IRRIGATION KIT KIT
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 IRRIGATION KIT BARD #750301
VA PRODUCT IDENTIFIER XV453
TRANSMIT TO CMOP YES
VA DISPENSE UNIT KIT
MASTER ENTRY FOR VUID YES
VUID 4026427
EFFECTIVE DATE/TIME
  • 2007-08-30 00:00:00
    STATUS:   ACTIVE