CATHETER,INTERMITTENT VAPRO TOUCH FREE 14FR H#73144 (28830)    VA PRODUCT (50.68)

Name Value
NAME CATHETER,INTERMITTENT VAPRO TOUCH FREE 14FR H#73144
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:   2018-10-09 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME CATH,INTERM VAPRO TOUCH FREE 14F H#73144
VA PRODUCT IDENTIFIER XJ478
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037897
EFFECTIVE DATE/TIME
  • 2018-10-12 00:00:00
    STATUS:   ACTIVE