CATHETER HOLDER,UNIVERSAL DEROYAL #M1133 (30659)    VA PRODUCT (50.68)

Name Value
NAME CATHETER HOLDER,UNIVERSAL DEROYAL #M1133
VA GENERIC NAME STRAP
DOSAGE FORM MISCELLANEOUS
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME STRAP MISCELLANEOUS
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-01-26 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME CATH HOLDER,UNIVERSAL DEROYAL #M1133
VA PRODUCT IDENTIFIER XK356
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4039982
EFFECTIVE DATE/TIME
  • 2021-01-27 00:00:00
    STATUS:   ACTIVE
  • 2021-01-27 00:00:00
    STATUS:   ACTIVE
  • 2021-01-27 00:00:00
    STATUS:   ACTIVE