URINARY DRAINAGE BAG BARD #153204 (31904)    VA PRODUCT (50.68)

Name Value
NAME URINARY DRAINAGE BAG BARD #153204
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:   2022-04-18 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME URINARY DRAINAGE BAG BARD #153204
VA PRODUCT IDENTIFIER XL157
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4041349
EFFECTIVE DATE/TIME
  • 2022-04-18 00:00:00
    STATUS:   ACTIVE