| NAME |
CATHETER,EXTERNAL FEMALE LATEX-FREE PUREWICK PWFX030 |
| VA GENERIC NAME |
URINE MANAGEMENT SYSTEM,FEMALE |
| DOSAGE FORM |
DEVICE |
| HAZARDOUS TO DISPOSE |
NO |
| NATIONAL FORMULARY NAME |
URINE MANAGEMENT SYSTEM,FEMALE DEVICE |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2023-04-25 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
CATH,EXT FEM LATEX FREE PUREWICK PWFX030 |
| VA PRODUCT IDENTIFIER |
XL523 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4042186 |
| EFFECTIVE DATE/TIME |
-
- 2023-04-26 00:00:00
- STATUS: ACTIVE
|
