IRRIGATION KIT BARD #750107 (21484)    VA PRODUCT (50.68)

Name Value
NAME IRRIGATION KIT BARD #750107
VA GENERIC NAME IRRIGATION KIT
DOSAGE FORM KIT
NATIONAL FORMULARY NAME IRRIGATION KIT KIT
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 IRRIGATION KIT BARD #750107
VA PRODUCT IDENTIFIER XT433
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4029631
EFFECTIVE DATE/TIME
  • 2010-02-09 00:00:00
    STATUS:   ACTIVE