BAG,LEG LATEX REUSABLE UROCARE #99532 (32028)    VA PRODUCT (50.68)

Name Value
NAME BAG,LEG LATEX REUSABLE UROCARE #99532
VA GENERIC NAME BAG
DOSAGE FORM BAG
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME BAG BAG
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2022-06-08 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BAG,LEG LATEX REUSABLE UROCARE #99532
VA PRODUCT IDENTIFIER XL231
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4041484
EFFECTIVE DATE/TIME
  • 2022-06-08 00:00:00
    STATUS:   ACTIVE