TRACH TUBE,SZ 6 CUFFLESS SHLY 60XLTUP (19741)    VA PRODUCT (50.68)

Name Value
NAME TRACH TUBE,SZ 6 CUFFLESS SHLY 60XLTUP
VA GENERIC NAME TRACHEOSTOMY
DOSAGE FORM TUBE
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 6 CUFFLESS SHLY 60XLTUP
VA PRODUCT IDENTIFIER XU260
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4027655
EFFECTIVE DATE/TIME
  • 2008-07-17 00:00:00
    STATUS:   ACTIVE