PLEURX DRAINAGE KIT D#50-7210 (19615)    VA PRODUCT (50.68)

Name Value
NAME PLEURX DRAINAGE KIT D#50-7210
VA GENERIC NAME PLEURX DRAINAGE
DOSAGE FORM KIT
NATIONAL FORMULARY NAME PLEURX DRAINAGE 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 PLEURX DRAINAGE KIT D#50-7210
VA PRODUCT IDENTIFIER XU160
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4027522
EFFECTIVE DATE/TIME
  • 2008-06-11 00:00:00
    STATUS:   ACTIVE