BAG,DRAINAGE ULTRASET SPIKE BAXTER #L5C4366P (30763)    VA PRODUCT (50.68)

Name Value
NAME BAG,DRAINAGE ULTRASET SPIKE BAXTER #L5C4366P
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:   2021-02-24 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BAG,DRAIN ULTRASET SPIKE BAXTER#L5C4366P
VA PRODUCT IDENTIFIER XK411
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040092
EFFECTIVE DATE/TIME
  • 2021-02-24 00:00:00
    STATUS:   ACTIVE
  • 2021-02-24 00:00:00
    STATUS:   ACTIVE
  • 2021-02-24 00:00:00
    STATUS:   ACTIVE