CATHETER,INTERMITTENT 18FR LOFRIC #4001840 (24360)    VA PRODUCT (50.68)

Name Value
NAME CATHETER,INTERMITTENT 18FR LOFRIC #4001840
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,INTERM 18FR LOFRIC #4001840
VA PRODUCT IDENTIFIER XH461
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4032925
EFFECTIVE DATE/TIME
  • 2013-12-17 00:00:00
    STATUS:   ACTIVE