BAG,LEG MEDIUM WORK INC #0043 (27597)    VA PRODUCT (50.68)

Name Value
NAME BAG,LEG MEDIUM WORK INC #0043
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:   2017-05-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BAG,LEG MEDIUM WORK INC #0043
VA PRODUCT IDENTIFIER XI899
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4036518
EFFECTIVE DATE/TIME
  • 2017-03-27 00:00:00
    STATUS:   ACTIVE