CATHETER,INTERMITTENT LOFRIC CATH KIT 14FR ASTRATECH #911440 (18715)    VA PRODUCT (50.68)

Name Value
NAME CATHETER,INTERMITTENT LOFRIC CATH KIT 14FR ASTRATECH #911440
VA GENERIC NAME CATHETER
DOSAGE FORM SET
NATIONAL FORMULARY NAME CATHETER SET
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 CATH,INTERM LOFRIC 14FR ASTRATECH#911440
VA PRODUCT IDENTIFIER XV516
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4026532
EFFECTIVE DATE/TIME
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE