TUBING,AIRLIFE CORRUGATED FLEX POLYETHYLENE AND EVA (20204)    VA PRODUCT (50.68)

Name Value
NAME TUBING,AIRLIFE CORRUGATED FLEX POLYETHYLENE AND EVA
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 TUBING,AIRLIFE CORRG FLEX PE AND EVA
VA PRODUCT IDENTIFIER XU585
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4028167
EFFECTIVE DATE/TIME
  • 2009-01-09 00:00:00
    STATUS:   ACTIVE