| NAME |
TUBE FEEDING GT 16FR KC#0100-16LV |
| VA GENERIC NAME |
TUBE |
| DOSAGE FORM |
TUBE |
| CS FEDERAL SCHEDULE |
Unscheduled |
| INACTIVATION DATE |
2023-02-15 00:00:00 |
| NATIONAL FORMULARY NAME |
TUBE TUBE |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| 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 GT 16FR KC#0100-16LV |
| VA PRODUCT IDENTIFIER |
XT570 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4029859 |
| EFFECTIVE DATE/TIME |
-
- 2010-06-03 00:00:00
- STATUS: ACTIVE
-
- 2023-02-15 00:00:00
- STATUS: INACTIVE
|
