TUBING,URINARY DRAINAGE TORBOT #TSN592017 (28686)    VA PRODUCT (50.68)

Name Value
NAME TUBING,URINARY DRAINAGE TORBOT #TSN592017
VA GENERIC NAME SUPPLY
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME SUPPLY MISCELLANEOUS
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2018-08-08 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TUBING,URINARY DRAINAGE TORBOT#TSN592017
VA PRODUCT IDENTIFIER XJ395
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037729
EFFECTIVE DATE/TIME
  • 2018-08-08 00:00:00
    STATUS:   ACTIVE