TUBING,EXTENSION 18IN MEDLINE #DYND12550 (21159)    VA PRODUCT (50.68)

Name Value
NAME TUBING,EXTENSION 18IN MEDLINE #DYND12550
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,EXTENSION 18IN MEDLINE #DYND12550
VA PRODUCT IDENTIFIER XT198
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4029282
EFFECTIVE DATE/TIME
  • 2009-11-09 00:00:00
    STATUS:   ACTIVE