TUBING,CORRUGATED AEROSOL 22MM X 12IN BF#81344 (22988)    VA PRODUCT (50.68)

Name Value
NAME TUBING,CORRUGATED AEROSOL 22MM X 12IN BF#81344
VA GENERIC NAME TUBE
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME TUBE MISCELLANEOUS
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,CORRUG AEROSOL 22MMX12IN BF#81344
VA PRODUCT IDENTIFIER XR270
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4031372
EFFECTIVE DATE/TIME
  • 2012-04-06 00:00:00
    STATUS:   ACTIVE