TRACH SPEAKING VALVE,PROVOX #8163 (27970)    VA PRODUCT (50.68)

Name Value
NAME TRACH SPEAKING VALVE,PROVOX #8163
VA GENERIC NAME TRACHEOSTOMY
DOSAGE FORM DEVICE
NATIONAL FORMULARY NAME TRACHEOSTOMY DEVICE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-12-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TRACH SPEAKING VALVE,PROVOX #8163
VA PRODUCT IDENTIFIER XJ032
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4036948
EFFECTIVE DATE/TIME
  • 2017-10-27 00:00:00
    STATUS:   ACTIVE