EXTENSION TUBING,MIC 12IN KC#0105-12 (29102)    VA PRODUCT (50.68)

Name Value
NAME EXTENSION TUBING,MIC 12IN KC#0105-12
VA GENERIC NAME TUBE
DOSAGE FORM TUBE
HAZARDOUS TO DISPOSE NO
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2023-01-17 00:00:00
NATIONAL FORMULARY NAME TUBE TUBE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2019-03-19 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME EXTENSION TUBING,MIC 12IN KC#0105-12
VA PRODUCT IDENTIFIER XJ575
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4038222
EFFECTIVE DATE/TIME
  • 2019-03-21 00:00:00
    STATUS:   ACTIVE
  • 2022-09-15 00:00:00
    STATUS:   INACTIVE
  • 2022-10-11 00:00:00
    STATUS:   ACTIVE
  • 2023-01-17 00:00:00
    STATUS:   INACTIVE