CATHETER,FOLEY 2-WAY 22FR 30CC BARD #0103SI22 (21149)    VA PRODUCT (50.68)

Name Value
NAME CATHETER,FOLEY 2-WAY 22FR 30CC BARD #0103SI22
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 22F 30CC BARD#0103SI22
VA PRODUCT IDENTIFIER XT189
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4029272
EFFECTIVE DATE/TIME
  • 2009-11-09 00:00:00
    STATUS:   ACTIVE