BAG,LEG CONVEEN #5062 (30064)    VA PRODUCT (50.68)

Name Value
NAME BAG,LEG CONVEEN #5062
VA GENERIC NAME BAG
DOSAGE FORM BAG
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME BAG BAG
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2020-04-20 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BAG,LEG CONVEEN #5062
VA PRODUCT IDENTIFIER XK057
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4039302
EFFECTIVE DATE/TIME
  • 2020-04-20 00:00:00
    STATUS:   ACTIVE