IRRIGATION SET,COLOPLAST #12830 (21699)    VA PRODUCT (50.68)

Name Value
NAME IRRIGATION SET,COLOPLAST #12830
VA GENERIC NAME IRRIGATION SET
DOSAGE FORM SET
NATIONAL FORMULARY NAME IRRIGATION SET SET
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 SET,COLOPLAST #12830
VA PRODUCT IDENTIFIER XT582
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4029876
EFFECTIVE DATE/TIME
  • 2010-06-03 00:00:00
    STATUS:   ACTIVE