CATHETER,FOLEY SILICONE DOVER 26FR 5ML COVIDIEN #605262IC (28313)    VA PRODUCT (50.68)

Name Value
NAME CATHETER,FOLEY SILICONE DOVER 26FR 5ML COVIDIEN #605262IC
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:   2018-04-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME CATH,FOLEY SIL 26F 5ML COVIDIEN#605262IC
VA PRODUCT IDENTIFIER XJ219
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037308
EFFECTIVE DATE/TIME
  • 2018-02-14 00:00:00
    STATUS:   ACTIVE