IRRIGATION,ANAL PERISTEEN KIT C#29142 (31832)    VA PRODUCT (50.68)

Name Value
NAME IRRIGATION,ANAL PERISTEEN KIT C#29142
VA GENERIC NAME IRRIGATION,ANAL
DOSAGE FORM KIT
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME IRRIGATION,ANAL KIT
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2022-03-23 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME IRRIGATION,ANAL PERISTEEN KIT C#29142
VA PRODUCT IDENTIFIER XL115
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4041275
EFFECTIVE DATE/TIME
  • 2022-03-23 00:00:00
    STATUS:   ACTIVE