| NAME |
POUCH,CLOSED,SENSURA COLOPLAST #15480 |
| VA GENERIC NAME |
POUCH,OSTOMY |
| DOSAGE FORM |
POUCH |
| CS FEDERAL SCHEDULE |
Unscheduled |
| INACTIVATION DATE |
2014-05-07 00:00:00 |
| NATIONAL FORMULARY NAME |
POUCH,OSTOMY POUCH |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| 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,CLOSED,SENSURA COLOPLAST #15480 |
| VA PRODUCT IDENTIFIER |
XH534 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
NO |
| VUID |
4033131 |
| EFFECTIVE DATE/TIME |
-
- 2014-02-28 00:00:00
- STATUS: ACTIVE
|
