BAG,ENTERAL DRAINAGE SET ENFIT #EDS-250 (28255)    VA PRODUCT (50.68)

Name Value
NAME BAG,ENTERAL DRAINAGE SET ENFIT #EDS-250
VA GENERIC NAME ENTERAL DRAINAGE
DOSAGE FORM BAG
NATIONAL FORMULARY NAME ENTERAL DRAINAGE BAG
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2018-03-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BAG,ENTERAL DRAINAGE SET ENFIT #EDS-250
VA PRODUCT IDENTIFIER XJ188
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037243
EFFECTIVE DATE/TIME
  • 2018-01-25 00:00:00
    STATUS:   ACTIVE