TUBE FEEDING SET GRAVITY ROSS #61 (22804)    VA PRODUCT (50.68)

Name Value
NAME TUBE FEEDING SET GRAVITY ROSS #61
VA GENERIC NAME TUBE
DOSAGE FORM SET
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME TUBE SET
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 FEEDING SET GRAVITY ROSS #61
VA PRODUCT IDENTIFIER XR180
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4031162
EFFECTIVE DATE/TIME
  • 2011-12-09 00:00:00
    STATUS:   ACTIVE