FECAL COLLECTOR KIT C#4217-03 (32504)    VA PRODUCT (50.68)

Name Value
NAME FECAL COLLECTOR KIT C#4217-03
VA GENERIC NAME BAG
DOSAGE FORM KIT
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME BAG KIT
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 KIT C#4217-03
VA PRODUCT IDENTIFIER XL459
TRANSMIT TO CMOP NO
VA DISPENSE UNIT KIT
MASTER ENTRY FOR VUID YES
VUID 4042023
EFFECTIVE DATE/TIME
  • 2023-02-14 00:00:00
    STATUS:   ACTIVE