| NAME |
TUBE FEEDING SET GT 20FR HA#012020-23 |
| VA GENERIC NAME |
TUBE |
| DOSAGE FORM |
SET |
| CS FEDERAL SCHEDULE |
Unscheduled |
| INACTIVATION DATE |
2023-02-15 00:00:00 |
| NATIONAL FORMULARY NAME |
TUBE SET |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2018-10-01 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
TUBE FEEDING SET GT 20FR HA#012020-23 |
| VA PRODUCT IDENTIFIER |
XJ460 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4037865 |
| EFFECTIVE DATE/TIME |
-
- 2018-10-02 00:00:00
- STATUS: ACTIVE
-
- 2023-02-15 00:00:00
- STATUS: INACTIVE
|
