CATHETER,INTERMITTENT 12FR LOFRIC HYDRO-KIT COUDE #4251240 (29433)    VA PRODUCT (50.68)

Name Value
NAME CATHETER,INTERMITTENT 12FR LOFRIC HYDRO-KIT COUDE #4251240
VA GENERIC NAME CATHETER
DOSAGE FORM CATHETER
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME CATHETER CATHETER
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2019-07-30 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME CATH,INTERM 12FR LOFRIC HYDRO-KT#4251240
VA PRODUCT IDENTIFIER XJ726
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4038593
EFFECTIVE DATE/TIME
  • 2019-07-30 00:00:00
    STATUS:   ACTIVE
  • 2019-07-30 00:00:00
    STATUS:   ACTIVE