CATHETER,FOLEY 2-WAY 12FR 5ML BARD #1758SI12 (23966)    VA PRODUCT (50.68)

Name Value
NAME CATHETER,FOLEY 2-WAY 12FR 5ML BARD #1758SI12
VA GENERIC NAME CATHETER
DOSAGE FORM CATHETER
NATIONAL FORMULARY NAME CATHETER CATHETER
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 CATH,FOLEY 2-WAY 12FR 5ML BARD #1758SI12
VA PRODUCT IDENTIFIER XH318
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4032482
EFFECTIVE DATE/TIME
  • 2013-06-19 00:00:00
    STATUS:   ACTIVE