POUCH,EAKIN,WOUND,FISTULA DRAINAGE C#8392-68 (23957)    VA PRODUCT (50.68)

Name Value
NAME POUCH,EAKIN,WOUND,FISTULA DRAINAGE C#8392-68
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#8392-68
VA PRODUCT IDENTIFIER XH311
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4032472
EFFECTIVE DATE/TIME
  • 2013-06-18 00:00:00
    STATUS:   ACTIVE