LEG BAG STRAP X-SMALL UROCARE #6355 (29402)    VA PRODUCT (50.68)

Name Value
NAME LEG BAG STRAP X-SMALL UROCARE #6355
VA GENERIC NAME STRAP
DOSAGE FORM MISCELLANEOUS
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME STRAP MISCELLANEOUS
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2019-07-16 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME LEG BAG STRAP X-SMALL UROCARE #6355
VA PRODUCT IDENTIFIER XJ706
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4038559
EFFECTIVE DATE/TIME
  • 2019-07-16 00:00:00
    STATUS:   ACTIVE
  • 2019-07-16 00:00:00
    STATUS:   ACTIVE