TRACH TUBE,SZ 4 CUFFLESS/FENESTRATED SHLY #4-CFN (15381)    VA PRODUCT (50.68)

Name Value
NAME TRACH TUBE,SZ 4 CUFFLESS/FENESTRATED SHLY #4-CFN
VA GENERIC NAME TRACHEOSTOMY
DOSAGE FORM TUBE
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2001-12-12 00:00:00
NATIONAL FORMULARY NAME TRACHEOSTOMY 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 TRACH TUBE,SZ 4 CUFFLESS/FEN SHLY#4-CFN
VA PRODUCT IDENTIFIER XZ298
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID NO
VUID 4015745
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2005-12-08 00:00:00
    STATUS:   ACTIVE
  • 2001-12-12 00:00:00
    STATUS:   INACTIVE