TRACH TUBE,SZ 5 JACKSON #23-1150SS (19782)    VA PRODUCT (50.68)

Name Value
NAME TRACH TUBE,SZ 5 JACKSON #23-1150SS
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 5 JACKSON #23-1150SS
VA PRODUCT IDENTIFIER XU291
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4027712
EFFECTIVE DATE/TIME
  • 2008-08-20 00:00:00
    STATUS:   ACTIVE