
| Name | Value |
|---|---|
| NAME | TUBE FEEDING SET FLEXIFLO QUANTUM K#50604 |
| VA GENERIC NAME | TUBE |
| DOSAGE FORM | SET |
| NATIONAL FORMULARY NAME | TUBE SET |
| CREATE DEFAULT POSSIBLE DOSAGE | YES |
| CODING SYSTEM |
|
| COPAY TIER |
|
| PGX ELIGIBLE | NO |
| PGX SUPPRESSED | NO |
| VA PRINT NAME | TUBE FEEDING SET FLEXIFLO K#50604 |
| VA PRODUCT IDENTIFIER | XV218 |
| TRANSMIT TO CMOP | YES |
| VA DISPENSE UNIT | EA |
| MASTER ENTRY FOR VUID | YES |
| VUID | 4025873 |
| EFFECTIVE DATE/TIME |
|