SUCTION PROBE,ORAL,HALYARD #108-123 (28572)    VA PRODUCT (50.68)

Name Value
NAME SUCTION PROBE,ORAL,HALYARD #108-123
VA GENERIC NAME TUBE
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME TUBE MISCELLANEOUS
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2018-06-07 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME SUCTION PROBE,ORAL HALYARD #108-123
VA PRODUCT IDENTIFIER XJ347
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037597
EFFECTIVE DATE/TIME
  • 2018-06-07 00:00:00
    STATUS:   ACTIVE
  • 2018-06-07 00:00:00
    STATUS:   ACTIVE