POUCH,EAKIN,WOUND,FISTULA DRAINAGE C#8392-52 (23074)    VA PRODUCT (50.68)

Name Value
NAME POUCH,EAKIN,WOUND,FISTULA DRAINAGE C#8392-52
VA GENERIC NAME POUCH
DOSAGE FORM POUCH
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,EAKIN,WOUND,FISTULA C#8392-52
VA PRODUCT IDENTIFIER XR317
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4031466
EFFECTIVE DATE/TIME
  • 2012-06-11 00:00:00
    STATUS:   ACTIVE