SUCTION SET,SUCTION PRO 72 14FR CLOSED CATHETER #Z155N-14 (21743)    VA PRODUCT (50.68)

Name Value
NAME SUCTION SET,SUCTION PRO 72 14FR CLOSED CATHETER #Z155N-14
VA GENERIC NAME SUCTION SET
DOSAGE FORM KIT
NATIONAL FORMULARY NAME SUCTION SET KIT
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 SUCTION PRO 72 14FR CLOSED #Z155N14
VA PRODUCT IDENTIFIER XK350
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4029924
EFFECTIVE DATE/TIME
  • 2010-07-12 00:00:00
    STATUS:   ACTIVE