BAG,URINARY DRAINAGE L1 #UDB901S (30996)    VA PRODUCT (50.68)

Name Value
NAME BAG,URINARY DRAINAGE L1 #UDB901S
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:   2021-04-08 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BAG,URINARY DRAINAGE L1 #UDB901S
VA PRODUCT IDENTIFIER XK587
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040338
EFFECTIVE DATE/TIME
  • 2021-04-09 00:00:00
    STATUS:   ACTIVE
  • 2021-04-09 00:00:00
    STATUS:   ACTIVE
  • 2021-04-09 00:00:00
    STATUS:   ACTIVE