TUBING,SUCTION 1/4IN X 12FT COVIDIEN #8888284620 (27499)    VA PRODUCT (50.68)

Name Value
NAME TUBING,SUCTION 1/4IN X 12FT COVIDIEN #8888284620
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:   2017-04-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TUBING,SUCT 1/4IN X 12FT COV #8888284620
VA PRODUCT IDENTIFIER XI854
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4036412
EFFECTIVE DATE/TIME
  • 2017-02-14 00:00:00
    STATUS:   ACTIVE