CONNECTING TUBE 14FR 30CM #G02791 (27363)    VA PRODUCT (50.68)

Name Value
NAME CONNECTING TUBE 14FR 30CM #G02791
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 14FR 30CM #G02791
VA PRODUCT IDENTIFIER XI780
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4036266
EFFECTIVE DATE/TIME
  • 2016-12-14 00:00:00
    STATUS:   ACTIVE