
| Name | Value |
|---|---|
| NAME | OXYGEN TUBE,TRANSTRACHEAL,9CM |
| VA GENERIC NAME | TUBE,OXYGEN |
| DOSAGE FORM | TUBE |
| NATIONAL FORMULARY NAME | TUBE,OXYGEN TUBE |
| CREATE DEFAULT POSSIBLE DOSAGE | YES |
| CODING SYSTEM |
|
| COPAY TIER |
|
| PGX ELIGIBLE | NO |
| PGX SUPPRESSED | NO |
| VA PRINT NAME | OXYGEN TUBE,TRANSTRACHEAL 9CM |
| VA PRODUCT IDENTIFIER | XH402 |
| TRANSMIT TO CMOP | YES |
| VA DISPENSE UNIT | EA |
| MASTER ENTRY FOR VUID | YES |
| VUID | 4032773 |
| EFFECTIVE DATE/TIME |
|