TRACH CANNULA,SZ 6 SHLY #6-DICFEN (23313)    VA PRODUCT (50.68)

Name Value
NAME TRACH CANNULA,SZ 6 SHLY #6-DICFEN
VA GENERIC NAME TRACHEOSTOMY
DOSAGE FORM CANNULA
NATIONAL FORMULARY NAME TRACHEOSTOMY CANNULA
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 CANNULA,SZ 6 SHLY #6-DICFEN
VA PRODUCT IDENTIFIER XH011
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4031755
EFFECTIVE DATE/TIME
  • 2012-11-21 00:00:00
    STATUS:   ACTIVE