EXTENSION TUBING (LF) ROCHESTER #46161 (25723)    VA PRODUCT (50.68)

Name Value
NAME EXTENSION TUBING (LF) ROCHESTER #46161
VA GENERIC NAME TUBE
DOSAGE FORM TUBE
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 EXTENSION TUBING (LF) ROCHESTER #46161
VA PRODUCT IDENTIFIER XI051
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4034473
EFFECTIVE DATE/TIME
  • 2015-05-22 00:00:00
    STATUS:   ACTIVE