| NAME |
TRACH TUBE,SZ 5 CUFFED SHLY #80XLTCP |
| VA GENERIC NAME |
TRACHEOSTOMY |
| DOSAGE FORM |
TUBE |
| CS FEDERAL SCHEDULE |
Unscheduled |
| INACTIVATION DATE |
2017-12-21 00:00:00 |
| NATIONAL FORMULARY NAME |
TRACHEOSTOMY TUBE |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| 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 |
TRACH TUBE,SZ 5 CUFFED SHLY #80XLTCP |
| VA PRODUCT IDENTIFIER |
XT980 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4030680 |
| EFFECTIVE DATE/TIME |
-
- 2011-06-06 00:00:00
- STATUS: ACTIVE
-
- 2017-12-21 00:00:00
- STATUS: INACTIVE
|
