TRACHEAL SUCTION SET 14FR HALYARD #22701356 (28480)    VA PRODUCT (50.68)

Name Value
NAME TRACHEAL SUCTION SET 14FR HALYARD #22701356
VA GENERIC NAME SUCTION SET
DOSAGE FORM SET
NATIONAL FORMULARY NAME SUCTION SET SET
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2018-07-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TRACH SUCTION SET 14FR HALYARD #22701356
VA PRODUCT IDENTIFIER XJ304
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037503
EFFECTIVE DATE/TIME
  • 2018-05-03 00:00:00
    STATUS:   ACTIVE