BANDAGE KIT,LEG COMPRESSION,LYMPHEDEMA #LK101 (30732)    VA PRODUCT (50.68)

Name Value
NAME BANDAGE KIT,LEG COMPRESSION,LYMPHEDEMA #LK101
VA GENERIC NAME BANDAGE,COMPRESSION
DOSAGE FORM KIT
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME BANDAGE,COMPRESSION KIT
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-02-17 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BANDAGE KIT,COMPRESSION LYMPHEDEMA#LK101
VA PRODUCT IDENTIFIER XK385
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040057
EFFECTIVE DATE/TIME
  • 2021-02-18 00:00:00
    STATUS:   ACTIVE
  • 2021-02-18 00:00:00
    STATUS:   ACTIVE
  • 2021-02-18 00:00:00
    STATUS:   ACTIVE