LEG BAG HOLDER,FABRIC,SMALL ROCHESTER #47151 (30739)    VA PRODUCT (50.68)

Name Value
NAME LEG BAG HOLDER,FABRIC,SMALL ROCHESTER #47151
VA GENERIC NAME BAG,LEG
DOSAGE FORM MISCELLANEOUS
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME BAG,LEG MISCELLANEOUS
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-02-19 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME LEG BAG HOLDER FABRIC,SMALL ROCH #47151
VA PRODUCT IDENTIFIER XK393
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040073
EFFECTIVE DATE/TIME
  • 2021-02-22 00:00:00
    STATUS:   ACTIVE
  • 2021-02-22 00:00:00
    STATUS:   ACTIVE
  • 2021-02-22 00:00:00
    STATUS:   ACTIVE