TRACH TUBE,SZ 7 BIVONA TTS SMITHS #670170 (25470)    VA PRODUCT (50.68)

Name Value
NAME TRACH TUBE,SZ 7 BIVONA TTS SMITHS #670170
VA GENERIC NAME TRACHEOSTOMY
DOSAGE FORM TUBE
NATIONAL FORMULARY NAME TRACHEOSTOMY 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 TRACH TUBE,SZ 7 BIVONA TTS SMITHS#670170
VA PRODUCT IDENTIFIER XH925
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4034193
EFFECTIVE DATE/TIME
  • 2015-02-18 00:00:00
    STATUS:   ACTIVE