CENTRAL LINE DRESSING ERASE BSI CHANGE KIT MEDLINE #BSIPICC1000 (30613)    VA PRODUCT (50.68)

Name Value
NAME CENTRAL LINE DRESSING ERASE BSI CHANGE KIT MEDLINE #BSIPICC1000
VA GENERIC NAME CENTRAL LINE
DOSAGE FORM KIT
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME CENTRAL LINE KIT
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2020-12-28 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME CENTRAL LINE DRESSING KIT M#BSIPICC1000
VA PRODUCT IDENTIFIER XK319
TRANSMIT TO CMOP NO
VA DISPENSE UNIT KIT
MASTER ENTRY FOR VUID YES
VUID 4039928
EFFECTIVE DATE/TIME
  • 2020-12-30 00:00:00
    STATUS:   ACTIVE
  • 2020-12-30 00:00:00
    STATUS:   ACTIVE
  • 2020-12-30 00:00:00
    STATUS:   ACTIVE