TRACH SHOWER COVER (26211)    VA PRODUCT (50.68)

Name Value
NAME TRACH SHOWER COVER
VA GENERIC NAME TRACHEOSTOMY
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME TRACHEOSTOMY MISCELLANEOUS
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 SHOWER COVER
VA PRODUCT IDENTIFIER XI276
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4035005
EFFECTIVE DATE/TIME
  • 2015-10-30 00:00:00
    STATUS:   ACTIVE