CATHETER,FOLEY SILICONE 2-WAY 26FR 5ML TELEFLEX #170605260 (32950)    VA PRODUCT (50.68)

Name Value
NAME CATHETER,FOLEY SILICONE 2-WAY 26FR 5ML TELEFLEX #170605260
COPAY TIER
PGX ELIGIBLE NO
PGX SUPPRESSED NO
EFFECTIVE DATE/TIME