TRACH CANNULA, SZ 6 MONTGOMERY 330641 (26864)    VA PRODUCT (50.68)

Name Value
NAME TRACH CANNULA, SZ 6 MONTGOMERY 330641
VA GENERIC NAME CANNULA
DOSAGE FORM CANNULA
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME CANNULA CANNULA
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 CANNULA, SZ 6 MONTGOMERY 330641
VA PRODUCT IDENTIFIER XI542
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4035714
EFFECTIVE DATE/TIME
  • 2016-05-19 00:00:00
    STATUS:   ACTIVE
  • 2022-09-15 00:00:00
    STATUS:   INACTIVE
  • 2022-10-11 00:00:00
    STATUS:   ACTIVE