BAG,LEG LARGE WORK INC #0030 (26957)    VA PRODUCT (50.68)

Name Value
NAME BAG,LEG LARGE WORK INC #0030
VA GENERIC NAME BAG
DOSAGE FORM BAG
NATIONAL FORMULARY NAME BAG BAG
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 BAG,LEG LARGE WORK INC #0030
VA PRODUCT IDENTIFIER XI575
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4035817
EFFECTIVE DATE/TIME
  • 2016-06-20 00:00:00
    STATUS:   ACTIVE