TRACH TUBE,SZ 6 CUFFED DIC #503060 (21780)    VA PRODUCT (50.68)

Name Value
NAME TRACH TUBE,SZ 6 CUFFED DIC #503060
VA GENERIC NAME TRACHEOSTOMY
DOSAGE FORM TUBE
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2017-01-26 00:00:00
NATIONAL FORMULARY NAME TRACHEOSTOMY 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 TRACH TUBE,SZ 6 CUFFED DIC #503060
VA PRODUCT IDENTIFIER XT620
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4029961
EFFECTIVE DATE/TIME
  • 2010-07-12 00:00:00
    STATUS:   ACTIVE