TRACHEAL SUCTION SET 14FR KC #22015 (24875)    VA PRODUCT (50.68)

Name Value
NAME TRACHEAL SUCTION SET 14FR KC #22015
VA GENERIC NAME SUCTION SET
DOSAGE FORM SET
NATIONAL FORMULARY NAME SUCTION SET SET
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 TRACHEAL SUCTION SET 14FR KC #22015
VA PRODUCT IDENTIFIER XH689
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4033512
EFFECTIVE DATE/TIME
  • 2014-07-14 00:00:00
    STATUS:   ACTIVE