TRACH CANNULA, SZ 4 MONTGOMERY 330425 (29204)    VA PRODUCT (50.68)

Name Value
NAME TRACH CANNULA, SZ 4 MONTGOMERY 330425
VA GENERIC NAME CANNULA
DOSAGE FORM CANNULA
HAZARDOUS TO DISPOSE NO
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME CANNULA CANNULA
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2019-04-26 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TRACH CANNULA, SZ 4 MONTGOMERY 330425
VA PRODUCT IDENTIFIER XJ605
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4038342
EFFECTIVE DATE/TIME
  • 2019-04-26 00:00:00
    STATUS:   ACTIVE
  • 2022-09-15 00:00:00
    STATUS:   INACTIVE
  • 2022-10-11 00:00:00
    STATUS:   ACTIVE