BAG,ENTERAL DRAINAGE SET CLOSED ENFIT AVANOS #43-4100 (31186)    VA PRODUCT (50.68)

Name Value
NAME BAG,ENTERAL DRAINAGE SET CLOSED ENFIT AVANOS #43-4100
VA GENERIC NAME ENTERAL DRAINAGE
DOSAGE FORM BAG
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME ENTERAL DRAINAGE BAG
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-06-08 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BAG,ENTERAL DRAIN CLOSED ENFIT A#43-4100
VA PRODUCT IDENTIFIER XK711
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040546
EFFECTIVE DATE/TIME
  • 2021-06-08 00:00:00
    STATUS:   ACTIVE
  • 2021-06-08 00:00:00
    STATUS:   ACTIVE
  • 2021-06-08 00:00:00
    STATUS:   ACTIVE