| NAME |
TRACH TUBE,SZ 6 BIVONA TTS SMITHS #670160 |
| VA GENERIC NAME |
TRACHEOSTOMY |
| DOSAGE FORM |
TUBE |
| NATIONAL FORMULARY NAME |
TRACHEOSTOMY TUBE |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2017-07-01 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
TRACH TUBE,SZ 6 BIVONA TTS SMITHS#670160 |
| VA PRODUCT IDENTIFIER |
XI960 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4036682 |
| EFFECTIVE DATE/TIME |
-
- 2017-05-23 00:00:00
- STATUS: ACTIVE
|
