NIGHT DRAIN KIT CONVATEC #A5102 (23599)    VA PRODUCT (50.68)

Name Value
NAME NIGHT DRAIN KIT CONVATEC #A5102
VA GENERIC NAME DRAIN
DOSAGE FORM KIT
NATIONAL FORMULARY NAME DRAIN 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 NIGHT DRAIN KIT CONVATEC #A5102
VA PRODUCT IDENTIFIER XH179
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4032075
EFFECTIVE DATE/TIME
  • 2013-02-19 00:00:00
    STATUS:   ACTIVE