TRACH VALVE,BLOM-SINGER ATSV BE8026H (20020)    VA PRODUCT (50.68)

Name Value
NAME TRACH VALVE,BLOM-SINGER ATSV BE8026H
VA GENERIC NAME TRACHEOSTOMY
DOSAGE FORM DEVICE
NATIONAL FORMULARY NAME TRACHEOSTOMY DEVICE
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 VALVE,BLOM-SINGER ATSV BE8026H
VA PRODUCT IDENTIFIER XU456
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4027971
EFFECTIVE DATE/TIME
  • 2008-11-06 00:00:00
    STATUS:   ACTIVE