BAG,LEG LATEX REUSABLE UROCARE #9526 (31236)    VA PRODUCT (50.68)

Name Value
NAME BAG,LEG LATEX REUSABLE UROCARE #9526
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:   2021-06-24 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BAG,LEG LATEX REUSABLE UROCARE #9526
VA PRODUCT IDENTIFIER XK744
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040613
EFFECTIVE DATE/TIME
  • 2021-06-29 00:00:00
    STATUS:   ACTIVE
  • 2021-06-29 00:00:00
    STATUS:   ACTIVE
  • 2021-06-29 00:00:00
    STATUS:   ACTIVE
  • 2021-06-29 00:00:00
    STATUS:   ACTIVE