CATHERIZATION SET,INTERMITTENT FEMALE 14FR C#28503 (28692)    VA PRODUCT (50.68)

Name Value
NAME CATHERIZATION SET,INTERMITTENT FEMALE 14FR C#28503
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:   2018-08-14 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME CATH SET,INTERMIT FEMALE 14F C#28503
VA PRODUCT IDENTIFIER XJ398
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037737
EFFECTIVE DATE/TIME
  • 2018-08-14 00:00:00
    STATUS:   ACTIVE