POUCH,DRAINABLE,POST-OP KIT C#4169-27 (30129)    VA PRODUCT (50.68)

Name Value
NAME POUCH,DRAINABLE,POST-OP KIT C#4169-27
VA GENERIC NAME POUCH,OSTOMY
DOSAGE FORM POUCH
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME POUCH,OSTOMY POUCH
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2020-05-15 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME POUCH,DRAINABLE,POST-OP KIT C#4169-27
VA PRODUCT IDENTIFIER XK079
TRANSMIT TO CMOP NO
VA DISPENSE UNIT KIT
MASTER ENTRY FOR VUID YES
VUID 4039378
EFFECTIVE DATE/TIME
  • 2020-05-18 00:00:00
    STATUS:   ACTIVE
  • 2020-05-18 00:00:00
    STATUS:   ACTIVE