CATHERIZATION SET,INTERMITTENT 12FR C#28422 (24925)    VA PRODUCT (50.68)

Name Value
NAME CATHERIZATION SET,INTERMITTENT 12FR C#28422
VA GENERIC NAME CATHERIZATION SET
DOSAGE FORM SET
NATIONAL FORMULARY NAME CATHERIZATION SET SET
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 SET,INTERMIT 12FR C#28422
VA PRODUCT IDENTIFIER XH709
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4033568
EFFECTIVE DATE/TIME
  • 2014-08-13 00:00:00
    STATUS:   ACTIVE