TUBE FEEDING SET,EXTENSION KC#0121-24 (25383)    VA PRODUCT (50.68)

Name Value
NAME TUBE FEEDING SET,EXTENSION KC#0121-24
VA GENERIC NAME TUBE
DOSAGE FORM SET
NATIONAL FORMULARY NAME TUBE 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 TUBE FEEDING SET,EXTENSION KC#0121-24
VA PRODUCT IDENTIFIER XH875
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4034096
EFFECTIVE DATE/TIME
  • 2015-01-23 00:00:00
    STATUS:   ACTIVE