| NAME |
LEG BAG HOLDER,FABRIC,LARGE UROCARE #6384 |
| VA GENERIC NAME |
BAG,LEG |
| DOSAGE FORM |
MISCELLANEOUS |
| HAZARDOUS TO DISPOSE |
NO |
| NATIONAL FORMULARY NAME |
BAG,LEG MISCELLANEOUS |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2019-05-09 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
LEG BAG HOLDER FABRIC,LG UROCARE #6384 |
| VA PRODUCT IDENTIFIER |
XJ624 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4038370 |
| EFFECTIVE DATE/TIME |
-
- 2019-05-13 00:00:00
- STATUS: ACTIVE
|
