IRRIGATION,ANAL PERISTEEN KIT C#29122 (26441)    VA PRODUCT (50.68)

Name Value
NAME IRRIGATION,ANAL PERISTEEN KIT C#29122
VA GENERIC NAME IRRIGATION,ANAL
DOSAGE FORM KIT
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2022-11-15 00:00:00
NATIONAL FORMULARY NAME IRRIGATION,ANAL KIT
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 IRRIGATION,ANAL PERISTEEN KIT C#29122
VA PRODUCT IDENTIFIER XI336
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4035263
EFFECTIVE DATE/TIME
  • 2015-12-30 00:00:00
    STATUS:   ACTIVE
  • 2022-11-15 00:00:00
    STATUS:   INACTIVE