TUBE FEEDING SET,EXTENSION #8140-18-4.5 (27752)    VA PRODUCT (50.68)

Name Value
NAME TUBE FEEDING SET,EXTENSION #8140-18-4.5
VA GENERIC NAME TUBE
DOSAGE FORM SET
NATIONAL FORMULARY NAME TUBE SET
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 TUBE FEEDING SET,EXTENSION #8140-18-4.5
VA PRODUCT IDENTIFIER XI971
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4036703
EFFECTIVE DATE/TIME
  • 2017-06-01 00:00:00
    STATUS:   ACTIVE