CATHETER,FOLEY 2-WAY HYDROGEL COUDE 20FR 5ML CARDINAL #1520C (31997)    VA PRODUCT (50.68)

Name Value
NAME CATHETER,FOLEY 2-WAY HYDROGEL COUDE 20FR 5ML CARDINAL #1520C
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:   2022-05-31 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME CATH,FOLEY 2-WAY 20FR 5ML CARDINAL#1520C
VA PRODUCT IDENTIFIER XL204
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4041446
EFFECTIVE DATE/TIME
  • 2022-05-31 00:00:00
    STATUS:   ACTIVE