CATHETER,COUDE LOFRIC 14FR #4051440 (28708)    VA PRODUCT (50.68)

Name Value
NAME CATHETER,COUDE LOFRIC 14FR #4051440
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:   2018-08-22 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME CATH,COUDE LOFRIC 14FR #4051440
VA PRODUCT IDENTIFIER XJ408
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037754
EFFECTIVE DATE/TIME
  • 2018-08-23 00:00:00
    STATUS:   ACTIVE