TRACHEAL SUCTION SET 12FR SMITHS #6101-12 (19659)    VA PRODUCT (50.68)

Name Value
NAME TRACHEAL SUCTION SET 12FR SMITHS #6101-12
VA GENERIC NAME SUCTION SET
DOSAGE FORM SET
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 12FR S#6101-12
VA PRODUCT IDENTIFIER XU184
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4027566
EFFECTIVE DATE/TIME
  • 2008-06-11 00:00:00
    STATUS:   ACTIVE