FECAL COLLECTOR KIT C#4180-00 (23428)    VA PRODUCT (50.68)

Name Value
NAME FECAL COLLECTOR KIT C#4180-00
VA GENERIC NAME BAG
DOSAGE FORM KIT
NATIONAL FORMULARY NAME BAG 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 FECAL COLLECTOR KIT C#4180-00
VA PRODUCT IDENTIFIER XH088
TRANSMIT TO CMOP NO
VA DISPENSE UNIT KIT
MASTER ENTRY FOR VUID YES
VUID 4031885
EFFECTIVE DATE/TIME
  • 2012-12-18 00:00:00
    STATUS:   ACTIVE