TUBE FEEDING SET ALCOR #AME1003 (28939)    VA PRODUCT (50.68)

Name Value
NAME TUBE FEEDING SET ALCOR #AME1003
VA GENERIC NAME TUBE
DOSAGE FORM SET
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME TUBE SET
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2018-12-04 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TUBE FEEDING SET ALCOR #AME1003
VA PRODUCT IDENTIFIER XJ516
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4038027
EFFECTIVE DATE/TIME
  • 2018-12-04 00:00:00
    STATUS:   ACTIVE