URINARY DRAINAGE BAG COVER DYND#15200 (31207)    VA PRODUCT (50.68)

Name Value
NAME URINARY DRAINAGE BAG COVER DYND#15200
VA GENERIC NAME POUCH COVER
DOSAGE FORM POUCH COVER
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME POUCH COVER POUCH COVER
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-06-16 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME URINARY DRAINAGE BAG COVER DYND#15200
VA PRODUCT IDENTIFIER XK719
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040571
EFFECTIVE DATE/TIME
  • 2021-06-16 00:00:00
    STATUS:   ACTIVE
  • 2021-06-16 00:00:00
    STATUS:   ACTIVE
  • 2021-06-16 00:00:00
    STATUS:   ACTIVE