TRACH STOMA PROTECTOR,BUCHANAN LITE LUMINAUD #38220 (29384)    VA PRODUCT (50.68)

Name Value
NAME TRACH STOMA PROTECTOR,BUCHANAN LITE LUMINAUD #38220
VA GENERIC NAME TRACHEOSTOMY
DOSAGE FORM MISCELLANEOUS
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME TRACHEOSTOMY MISCELLANEOUS
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2019-07-08 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TRACH STOMA PROTECT,B-LITE L#38220
VA PRODUCT IDENTIFIER XJ698
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4038540
EFFECTIVE DATE/TIME
  • 2019-07-08 00:00:00
    STATUS:   ACTIVE
  • 2019-07-08 00:00:00
    STATUS:   ACTIVE