BAG,LEG MEDIUM MEDLINE #URO5454 (29702)    VA PRODUCT (50.68)

Name Value
NAME BAG,LEG MEDIUM MEDLINE #URO5454
VA GENERIC NAME BAG,LEG
DOSAGE FORM BAG
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME BAG,LEG BAG
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2019-11-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BAG,LEG MEDIUM MEDLINE #URO5454
VA PRODUCT IDENTIFIER XJ868
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4038891
EFFECTIVE DATE/TIME
  • 2019-11-05 00:00:00
    STATUS:   ACTIVE