TUBE FEEDING GT Y-EXTENSION,CORPAK #20-1007 (24274)    VA PRODUCT (50.68)

Name Value
NAME TUBE FEEDING GT Y-EXTENSION,CORPAK #20-1007
VA GENERIC NAME TUBE
DOSAGE FORM TUBE
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2022-09-15 00:00:00
NATIONAL FORMULARY NAME TUBE TUBE
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 TUBE GT Y-EXTENSION,CORPAK #20-1007
VA PRODUCT IDENTIFIER XH412
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4032826
EFFECTIVE DATE/TIME
  • 2013-10-28 00:00:00
    STATUS:   ACTIVE
  • 2022-09-15 00:00:00
    STATUS:   INACTIVE