| NAME |
CATHETER,SUCTION 14FR MAXIFLO LOOPED SMITHS #620014 |
| VA GENERIC NAME |
SUCTION SET |
| DOSAGE FORM |
KIT |
| NATIONAL FORMULARY NAME |
SUCTION SET KIT |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
CATH,SUCT 14F MAXIFLO LOOP SMITHS#620014 |
| VA PRODUCT IDENTIFIER |
XI566 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4035782 |
| EFFECTIVE DATE/TIME |
-
- 2016-06-08 00:00:00
- STATUS: ACTIVE
|
