CATHETER,FOLEY 2-WAY SILICONE 18FR 15ML COLOPLAST#AA6118 (31401)    VA PRODUCT (50.68)

Name Value
NAME CATHETER,FOLEY 2-WAY SILICONE 18FR 15ML COLOPLAST#AA6118
VA GENERIC NAME CATHETER
DOSAGE FORM CATHETER
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME CATHETER CATHETER
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-09-03 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME CATH,FOLEY SIL 18F 15ML COLOPLAST#AA6118
VA PRODUCT IDENTIFIER XK850
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040786
EFFECTIVE DATE/TIME
  • 2021-09-07 00:00:00
    STATUS:   ACTIVE
  • 2021-09-07 00:00:00
    STATUS:   ACTIVE