CONNECTING TUBE STERILE 1/4IN X 10FT (25923)    VA PRODUCT (50.68)

Name Value
NAME CONNECTING TUBE STERILE 1/4IN X 10FT
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 CONNECTING TUBE STERILE 1/4IN X 10FT
VA PRODUCT IDENTIFIER XI131
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4034696
EFFECTIVE DATE/TIME
  • 2015-08-12 00:00:00
    STATUS:   ACTIVE