ENEMA SET,BUCKET TYPE MEDLINE #DYND70104 (21036)    VA PRODUCT (50.68)

Name Value
NAME ENEMA SET,BUCKET TYPE MEDLINE #DYND70104
VA GENERIC NAME ENEMA SET
DOSAGE FORM SET
NATIONAL FORMULARY NAME ENEMA SET 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 ENEMA SET,BUCKET TYPE MEDLINE #DYND70104
VA PRODUCT IDENTIFIER XT100
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4029138
EFFECTIVE DATE/TIME
  • 2009-10-01 00:00:00
    STATUS:   ACTIVE