CATHETER,FOLEY COUDE 20FR 30ML BARD#0100L-20 (27344)    VA PRODUCT (50.68)

Name Value
NAME CATHETER,FOLEY COUDE 20FR 30ML BARD#0100L-20
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 CATH,FOLEY COUDE 20F 30ML BARD#0100L-20
VA PRODUCT IDENTIFIER XI769
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4036245
EFFECTIVE DATE/TIME
  • 2016-12-13 00:00:00
    STATUS:   ACTIVE