TUBING,SUCTION 3/16IN X 6FT COVIDIEN #8888301515 (27751)    VA PRODUCT (50.68)

Name Value
NAME TUBING,SUCTION 3/16IN X 6FT COVIDIEN #8888301515
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:   2017-07-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TUBING,SUCT 3/16IN X 6FT COV #8888301515
VA PRODUCT IDENTIFIER XI970
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4036702
EFFECTIVE DATE/TIME
  • 2017-06-01 00:00:00
    STATUS:   ACTIVE