CATHETER,INTERMITTENT 12FR LOFRIC SENSE #4161250 (28649)    VA PRODUCT (50.68)

Name Value
NAME CATHETER,INTERMITTENT 12FR LOFRIC SENSE #4161250
VA GENERIC NAME CATHETER
DOSAGE FORM CATHETER
NATIONAL FORMULARY NAME CATHETER CATHETER
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2018-07-20 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME CATH,INTERM 12FR LOFRIC SENSE #4161250
VA PRODUCT IDENTIFIER XJ386
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037685
EFFECTIVE DATE/TIME
  • 2018-07-23 00:00:00
    STATUS:   ACTIVE