ORAL,SWAB Q-CARE W/SUCTION SYST #6912 (28632)    VA PRODUCT (50.68)

Name Value
NAME ORAL,SWAB Q-CARE W/SUCTION SYST #6912
VA GENERIC NAME ORAL,SWAB
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME ORAL,SWAB MISCELLANEOUS
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2018-07-23 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME ORAL,SWAB Q-CARE W/SUCTION SYST #6912
VA PRODUCT IDENTIFIER XJ376
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037664
EFFECTIVE DATE/TIME
  • 2018-07-13 00:00:00
    STATUS:   ACTIVE