FEEDING BAG W/PUMP SET FLEXIFLO #52042 (21975)    VA PRODUCT (50.68)

Name Value
NAME FEEDING BAG W/PUMP SET FLEXIFLO #52042
VA GENERIC NAME BAG
DOSAGE FORM BAG
NATIONAL FORMULARY NAME BAG BAG
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 FEEDING BAG W/PUMP SET FLEXIFLO #52042
VA PRODUCT IDENTIFIER XT733
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4030188
EFFECTIVE DATE/TIME
  • 2010-10-13 00:00:00
    STATUS:   ACTIVE