TRACH TUBE,SZ 6 JACKSON #PL518135 (27788)    VA PRODUCT (50.68)

Name Value
NAME TRACH TUBE,SZ 6 JACKSON #PL518135
VA GENERIC NAME TRACHEOSTOMY
DOSAGE FORM TUBE
NATIONAL FORMULARY NAME TRACHEOSTOMY TUBE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-08-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TRACH TUBE,SZ 6 JACKSON #PL518135
VA PRODUCT IDENTIFIER XI985
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4036743
EFFECTIVE DATE/TIME
  • 2017-06-22 00:00:00
    STATUS:   ACTIVE