TUBE FEEDING SET,EXTENSION KC#0123-12 (21291)    VA PRODUCT (50.68)

Name Value
NAME TUBE FEEDING SET,EXTENSION KC#0123-12
VA GENERIC NAME TUBE
DOSAGE FORM SET
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2022-11-15 00:00:00
NATIONAL FORMULARY NAME TUBE SET
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 TUBE FEEDING SET,EXTENSION KC#0123-12
VA PRODUCT IDENTIFIER XT288
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4029424
EFFECTIVE DATE/TIME
  • 2009-12-04 00:00:00
    STATUS:   ACTIVE
  • 2022-11-15 00:00:00
    STATUS:   INACTIVE