FECAL COLLECTOR C#4222-91 (32502)    VA PRODUCT (50.68)

Name Value
NAME FECAL COLLECTOR C#4222-91
VA GENERIC NAME BAG
DOSAGE FORM BAG
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME BAG BAG
CREATE DEFAULT POSSIBLE DOSAGE YES
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2023-02-13 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME FECAL COLLECTOR C#4222-91
VA PRODUCT IDENTIFIER XL456
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4042020
EFFECTIVE DATE/TIME
  • 2023-02-13 00:00:00
    STATUS:   ACTIVE