TRACH VALVE HOUSING,ADHESIVE BLOM-SINGER BE6075 (23434)    VA PRODUCT (50.68)

Name Value
NAME TRACH VALVE HOUSING,ADHESIVE BLOM-SINGER BE6075
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 BE6075
VA PRODUCT IDENTIFIER XH094
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4031891
EFFECTIVE DATE/TIME
  • 2012-12-19 00:00:00
    STATUS:   ACTIVE