TRACHEAL SUCTION SET SZ 8 SMITH #100875080 (28590)    VA PRODUCT (50.68)

Name Value
NAME TRACHEAL SUCTION SET SZ 8 SMITH #100875080
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:   2018-06-19 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TRACH SUCTION SET SZ 8 SMITH #100875080
VA PRODUCT IDENTIFIER XJ354
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037619
EFFECTIVE DATE/TIME
  • 2018-06-19 00:00:00
    STATUS:   ACTIVE