EXTENSION TUBING H#9345 (19738)    VA PRODUCT (50.68)

Name Value
NAME EXTENSION TUBING H#9345
VA GENERIC NAME TUBE
DOSAGE FORM TUBE
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 EXTENSION TUBING H#9345
VA PRODUCT IDENTIFIER XU257
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4027652
EFFECTIVE DATE/TIME
  • 2008-07-17 00:00:00
    STATUS:   ACTIVE