CATHETER,INTERMITTENT APOGEE 12FR H#1047 (25121)    VA PRODUCT (50.68)

Name Value
NAME CATHETER,INTERMITTENT APOGEE 12FR H#1047
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 CATHETER,INTERMITTENT APOGEE 12FR H#1047
VA PRODUCT IDENTIFIER XH764
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4033799
EFFECTIVE DATE/TIME
  • 2014-10-28 00:00:00
    STATUS:   ACTIVE