TRACH VALVE HOUSING,ADHESIVE BLOM-SINGER BE6076 (23433)    VA PRODUCT (50.68)

Name Value
NAME TRACH VALVE HOUSING,ADHESIVE BLOM-SINGER BE6076
VA GENERIC NAME TRACHEOSTOMY
DOSAGE FORM DEVICE
NATIONAL FORMULARY NAME TRACHEOSTOMY DEVICE
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 HOUSING,ADHESIVE BE6076
VA PRODUCT IDENTIFIER XH093
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4031890
EFFECTIVE DATE/TIME
  • 2012-12-19 00:00:00
    STATUS:   ACTIVE