DRAINAGE,CONNECTOR TUBING 42CM MERIT #K10-04130 (28736)    VA PRODUCT (50.68)

Name Value
NAME DRAINAGE,CONNECTOR TUBING 42CM MERIT #K10-04130
VA GENERIC NAME TUBE
DOSAGE FORM TUBE
NATIONAL FORMULARY NAME TUBE TUBE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2018-08-30 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRAINAGE TUBING 42CM MERIT #K10-04130
VA PRODUCT IDENTIFIER XJ424
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037790
EFFECTIVE DATE/TIME
  • 2018-08-31 00:00:00
    STATUS:   ACTIVE