BAG,AEROSOL DRAINAGE HUDSON #1742 (27345)    VA PRODUCT (50.68)

Name Value
NAME BAG,AEROSOL DRAINAGE HUDSON #1742
VA GENERIC NAME AEROSOL DRAINAGE
DOSAGE FORM BAG
NATIONAL FORMULARY NAME AEROSOL DRAINAGE 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,AEROSOL DRAINAGE HUDSON #1742
VA PRODUCT IDENTIFIER XI770
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4036246
EFFECTIVE DATE/TIME
  • 2016-12-13 00:00:00
    STATUS:   ACTIVE