CATHETER,FOLEY SILICONE DOVER 18FR 5ML COVIDIEN #605189IC (27696)    VA PRODUCT (50.68)

Name Value
NAME CATHETER,FOLEY SILICONE DOVER 18FR 5ML COVIDIEN #605189IC
VA GENERIC NAME CATHETER
DOSAGE FORM CATHETER
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME CATHETER CATHETER
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-07-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME CATH,FOLEY SIL 18F 5ML COVIDIEN#605189IC
VA PRODUCT IDENTIFIER XI948
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4036636
EFFECTIVE DATE/TIME
  • 2017-05-09 00:00:00
    STATUS:   ACTIVE