CATHERIZATION SET,FOLEY 18FR 10ML M#DYND11520 (27888)    VA PRODUCT (50.68)

Name Value
NAME CATHERIZATION SET,FOLEY 18FR 10ML M#DYND11520
VA GENERIC NAME CATHERIZATION SET
DOSAGE FORM SET
NATIONAL FORMULARY NAME CATHERIZATION SET SET
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-09-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME CATH SET,FOLEY 18F 10ML M#DYND11520
VA PRODUCT IDENTIFIER XJ025
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4036851
EFFECTIVE DATE/TIME
  • 2017-07-31 00:00:00
    STATUS:   ACTIVE