CATHETER,EXTERNAL EXTENDED WEAR SMALL H#9206 (21260)    VA PRODUCT (50.68)

Name Value
NAME CATHETER,EXTERNAL EXTENDED WEAR SMALL H#9206
VA GENERIC NAME CATHETER,EXTERNAL
DOSAGE FORM CATHETER
NATIONAL FORMULARY NAME CATHETER,EXTERNAL 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,EXTERNAL EXTENDED WEAR SMALL H#9206
VA PRODUCT IDENTIFIER XT264
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4029393
EFFECTIVE DATE/TIME
  • 2009-12-04 00:00:00
    STATUS:   ACTIVE