POUCH,DRAINABLE,ESTEEM C#4167-24 (26194)    VA PRODUCT (50.68)

Name Value
NAME POUCH,DRAINABLE,ESTEEM C#4167-24
VA GENERIC NAME POUCH,OSTOMY
DOSAGE FORM POUCH
NATIONAL FORMULARY NAME POUCH,OSTOMY POUCH
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 POUCH,DRAINABLE,ESTEEM C#4167-24
VA PRODUCT IDENTIFIER XI270
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4034986
EFFECTIVE DATE/TIME
  • 2015-10-28 00:00:00
    STATUS:   ACTIVE