FEEDING BAG W/PUMP SET ENFIT CARDINAL #674668 (30358)    VA PRODUCT (50.68)

Name Value
NAME FEEDING BAG W/PUMP SET ENFIT CARDINAL #674668
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:   2020-08-26 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME FEEDING BAG W/PUMP SET ENFIT CARD#674668
VA PRODUCT IDENTIFIER XK203
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4039642
EFFECTIVE DATE/TIME
  • 2020-08-27 00:00:00
    STATUS:   ACTIVE
  • 2020-08-27 00:00:00
    STATUS:   ACTIVE
  • 2020-08-27 00:00:00
    STATUS:   ACTIVE