CATHETER FOLEY 3-WAY 22FR 30ML BARD #0167L22 (31906)    VA PRODUCT (50.68)

Name Value
NAME CATHETER FOLEY 3-WAY 22FR 30ML BARD #0167L22
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:   2022-04-19 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME CATH,FOLEY 3-WAY 22FR 30ML BARD #0167L22
VA PRODUCT IDENTIFIER XL159
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4041351
EFFECTIVE DATE/TIME
  • 2022-04-19 00:00:00
    STATUS:   ACTIVE