BAG,BEDSIDE,AFEX 2000ML A400X (30974)    VA PRODUCT (50.68)

Name Value
NAME BAG,BEDSIDE,AFEX 2000ML A400X
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:   2021-04-02 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BAG,BEDSIDE AFEX 2000ML A400X
VA PRODUCT IDENTIFIER XK573
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040316
EFFECTIVE DATE/TIME
  • 2021-04-05 00:00:00
    STATUS:   ACTIVE
  • 2021-04-05 00:00:00
    STATUS:   ACTIVE
  • 2021-04-05 00:00:00
    STATUS:   ACTIVE