TRACH VALVE KIT,BLOM-SINGER ATSV BE8024H (22843)    VA PRODUCT (50.68)

Name Value
NAME TRACH VALVE KIT,BLOM-SINGER ATSV BE8024H
VA GENERIC NAME TRACHEOSTOMY
DOSAGE FORM KIT
NATIONAL FORMULARY NAME TRACHEOSTOMY 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 TRACH VALVE KIT,BLOM-SINGER ATSV BE8024H
VA PRODUCT IDENTIFIER XR194
TRANSMIT TO CMOP YES
VA DISPENSE UNIT KIT
MASTER ENTRY FOR VUID YES
VUID 4031215
EFFECTIVE DATE/TIME
  • 2012-01-06 00:00:00
    STATUS:   ACTIVE