TUBING,SUCTION 3/16IN X 10FT COVIDIEN #8888301523 (27273)    VA PRODUCT (50.68)

Name Value
NAME TUBING,SUCTION 3/16IN X 10FT COVIDIEN #8888301523
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 TUBING,SUCT 3/16IN X10FT COV #8888301523
VA PRODUCT IDENTIFIER XI730
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4036166
EFFECTIVE DATE/TIME
  • 2016-11-21 00:00:00
    STATUS:   ACTIVE