TUBE FEEDING GT 18FR ROSS#154 (15236)    VA PRODUCT (50.68)

Name Value
NAME TUBE FEEDING GT 18FR ROSS#154
VA GENERIC NAME TUBE
DOSAGE FORM TUBE
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2023-02-15 00:00:00
NATIONAL FORMULARY NAME TUBE TUBE
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 TUBE FEEDING GT 18FR ROSS#154
VA PRODUCT IDENTIFIER XZ238
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4015600
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2023-02-15 00:00:00
    STATUS:   INACTIVE