TUBING,EXTENSION AMPATCH 12IN 30FR (22913)    VA PRODUCT (50.68)

Name Value
NAME TUBING,EXTENSION AMPATCH 12IN 30FR
VA GENERIC NAME TUBE
DOSAGE FORM TUBE
NATIONAL FORMULARY NAME TUBE 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 TUBING,EXTENSION AMPATCH 12IN 30FR
VA PRODUCT IDENTIFIER XR231
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4031289
EFFECTIVE DATE/TIME
  • 2012-03-09 00:00:00
    STATUS:   ACTIVE