TUBE,RECTAL,24FR,PLASTIC B#6510 (21439)    VA PRODUCT (50.68)

Name Value
NAME TUBE,RECTAL,24FR,PLASTIC B#6510
VA GENERIC NAME RECTAL
DOSAGE FORM TUBE
NATIONAL FORMULARY NAME RECTAL 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 TUBE,RECTAL,24FR,PLASTIC B#6510
VA PRODUCT IDENTIFIER XT399
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4029586
EFFECTIVE DATE/TIME
  • 2010-02-09 00:00:00
    STATUS:   ACTIVE