OXYGEN TUBE,TRANSTRACHEAL #TSH1540 (28123)    VA PRODUCT (50.68)

Name Value
NAME OXYGEN TUBE,TRANSTRACHEAL #TSH1540
VA GENERIC NAME TUBE,OXYGEN
DOSAGE FORM TUBE
NATIONAL FORMULARY NAME TUBE,OXYGEN TUBE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2018-01-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME OXYGEN TUBE,TRANSTRACHEAL #TSH1540
VA PRODUCT IDENTIFIER XJ132
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037092
EFFECTIVE DATE/TIME
  • 2017-11-21 00:00:00
    STATUS:   ACTIVE