POUCH,EAKIN,WOUND,FISTULA DRAINAGE C#8392-12 (21625)    VA PRODUCT (50.68)

Name Value
NAME POUCH,EAKIN,WOUND,FISTULA DRAINAGE C#8392-12
VA GENERIC NAME POUCH
DOSAGE FORM POUCH
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2012-06-15 00:00:00
NATIONAL FORMULARY NAME POUCH POUCH
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 POUCH,WOUND,FISTULA,DRAINAGE C#8392-12
VA PRODUCT IDENTIFIER XT526
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4029794
EFFECTIVE DATE/TIME
  • 2010-05-12 00:00:00
    STATUS:   ACTIVE
  • 2012-06-15 00:00:00
    STATUS:   INACTIVE