LEG BAG STRAP UROCARE #60062 LATEX-FREE (24085)    VA PRODUCT (50.68)

Name Value
NAME LEG BAG STRAP UROCARE #60062 LATEX-FREE
VA GENERIC NAME STRAP
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME STRAP MISCELLANEOUS
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 LEG BAG STRAP UROCARE #60062 LATEX-FREE
VA PRODUCT IDENTIFIER XH360
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4032613
EFFECTIVE DATE/TIME
  • 2013-08-15 00:00:00
    STATUS:   ACTIVE