CATHERIZATION SET,INTERMITTENT 16FR C#28936 (32649)    VA PRODUCT (50.68)

Name Value
NAME CATHERIZATION SET,INTERMITTENT 16FR C#28936
VA GENERIC NAME CATHERIZATION SET
DOSAGE FORM SET
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME CATHERIZATION SET SET
CREATE DEFAULT POSSIBLE DOSAGE YES
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2023-04-20 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME CATH SET,INTERMIT 16FR C#28936
VA PRODUCT IDENTIFIER XL520
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4042183
EFFECTIVE DATE/TIME
  • 2023-04-20 00:00:00
    STATUS:   ACTIVE