TRACH CANNULA, SZ 8 MONTGOMERY 330801 (27554)    VA PRODUCT (50.68)

Name Value
NAME TRACH CANNULA, SZ 8 MONTGOMERY 330801
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:   2017-05-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TRACH CANNULA, SZ 8 MONTGOMERY 330801
VA PRODUCT IDENTIFIER XI883
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4036473
EFFECTIVE DATE/TIME
  • 2017-03-14 00:00:00
    STATUS:   ACTIVE
  • 2022-09-15 00:00:00
    STATUS:   INACTIVE
  • 2022-10-11 00:00:00
    STATUS:   ACTIVE