CATHETER,FOLEY 2-WAY 24FR 30CC BARD #0166V24S (21096)    VA PRODUCT (50.68)

Name Value
NAME CATHETER,FOLEY 2-WAY 24FR 30CC BARD #0166V24S
VA GENERIC NAME CATHETER
DOSAGE FORM CATHETER
NATIONAL FORMULARY NAME CATHETER CATHETER
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,FOLEY 2-WAY 24F 30CC BARD #0166V24S
VA PRODUCT IDENTIFIER XT139
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4029198
EFFECTIVE DATE/TIME
  • 2009-10-01 00:00:00
    STATUS:   ACTIVE