TRACHEAL SUCTION SET 18FR F#207-3773 (11618)    VA PRODUCT (50.68)

Name Value
NAME TRACHEAL SUCTION SET 18FR F#207-3773
VA GENERIC NAME SUCTION SET
DOSAGE FORM SET
CS FEDERAL SCHEDULE Unscheduled
DSS NUMBER 5
NATIONAL FORMULARY NAME SUCTION SET SET
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TRACHEAL SUCTION SET 18FR F#207-3773
VA PRODUCT IDENTIFIER XS750
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4011991
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE