DRAIN TUBE,VALVE UROCARE #6005 (20736)    VA PRODUCT (50.68)

Name Value
NAME DRAIN TUBE,VALVE UROCARE #6005
VA GENERIC NAME DRAIN
DOSAGE FORM TUBE
NATIONAL FORMULARY NAME DRAIN TUBE
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 DRAIN TUBE,VALVE UROCARE #6005
VA PRODUCT IDENTIFIER XU897
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4028775
EFFECTIVE DATE/TIME
  • 2009-07-09 00:00:00
    STATUS:   ACTIVE