BIODERM TUBE HOLDER DEVICE #51250 (31124)    VA PRODUCT (50.68)

Name Value
NAME BIODERM TUBE HOLDER DEVICE #51250
VA GENERIC NAME EXTERNAL CONTINENCE DEVICE
DOSAGE FORM MISCELLANEOUS
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME EXTERNAL CONTINENCE DEVICE MISCELLANEOUS
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-05-17 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BIODERM TUBE HOLDER DEVICE #51250
VA PRODUCT IDENTIFIER XK672
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040473
EFFECTIVE DATE/TIME
  • 2021-05-17 00:00:00
    STATUS:   ACTIVE
  • 2021-05-17 00:00:00
    STATUS:   ACTIVE
  • 2021-05-17 00:00:00
    STATUS:   ACTIVE