TOOTHBRUSH,SUCTION MEDLINE #MDS096575 (27984)    VA PRODUCT (50.68)

Name Value
NAME TOOTHBRUSH,SUCTION MEDLINE #MDS096575
VA GENERIC NAME TOOTHBRUSH
DOSAGE FORM MISCELLANEOUS
CS FEDERAL SCHEDULE Unscheduled
NATIONAL FORMULARY NAME TOOTHBRUSH MISCELLANEOUS
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 TOOTHBRUSH,SUCTION MEDLINE #MDS096575
VA PRODUCT IDENTIFIER XJ042
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4036960
EFFECTIVE DATE/TIME
  • 2017-10-27 00:00:00
    STATUS:   ACTIVE
  • 2021-10-18 00:00:00
    STATUS:   INACTIVE
  • 2021-10-18 00:00:00
    STATUS:   INACTIVE
  • 2021-10-18 00:00:00
    STATUS:   INACTIVE
  • 2021-10-18 00:00:00
    STATUS:   INACTIVE
  • 2022-04-26 00:00:00
    STATUS:   ACTIVE