CENTRAL LINE DRESSING CHANGE KIT #69475 (24004)    VA PRODUCT (50.68)

Name Value
NAME CENTRAL LINE DRESSING CHANGE KIT #69475
VA GENERIC NAME CENTRAL LINE
DOSAGE FORM KIT
NATIONAL FORMULARY NAME CENTRAL LINE 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 CENTRAL LINE DRESSING KIT #69475
VA PRODUCT IDENTIFIER XH338
TRANSMIT TO CMOP NO
VA DISPENSE UNIT KIT
MASTER ENTRY FOR VUID YES
VUID 4032527
EFFECTIVE DATE/TIME
  • 2013-06-28 00:00:00
    STATUS:   ACTIVE