INCONT DEVICE FEMALE BLADDER SUPPORT SIZE 3 (27059)    VA PRODUCT (50.68)

Name Value
NAME INCONT DEVICE FEMALE BLADDER SUPPORT SIZE 3
VA GENERIC NAME INCONTINENCE DEVICE
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME INCONTINENCE DEVICE MISCELLANEOUS
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 INCONT DEV FEMALE BLADDER SUPPORT SIZE 3
VA PRODUCT IDENTIFIER XI623
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4035931
EFFECTIVE DATE/TIME
  • 2016-07-26 00:00:00
    STATUS:   ACTIVE