TRACH SPEAKING VALVE KIT,PROVOX #7757 (28592)    VA PRODUCT (50.68)

Name Value
NAME TRACH SPEAKING VALVE KIT,PROVOX #7757
VA GENERIC NAME TRACHEOSTOMY
DOSAGE FORM DEVICE
NATIONAL FORMULARY NAME TRACHEOSTOMY DEVICE
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 SPEAKING VALVE KIT,PROVOX #7757
VA PRODUCT IDENTIFIER XJ356
TRANSMIT TO CMOP YES
VA DISPENSE UNIT KIT
MASTER ENTRY FOR VUID YES
VUID 4037621
EFFECTIVE DATE/TIME
  • 2018-06-19 00:00:00
    STATUS:   ACTIVE