TRACHEOSTOMY CARE KIT MEDLINE #DYND40610 (29588)    VA PRODUCT (50.68)

Name Value
NAME TRACHEOSTOMY CARE KIT MEDLINE #DYND40610
VA GENERIC NAME TRACHEOSTOMY CARE KIT
DOSAGE FORM KIT
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME TRACHEOSTOMY CARE KIT KIT
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2019-10-16 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TRACHEOSTOMY CARE KIT MEDLINE #DYND40610
VA PRODUCT IDENTIFIER XJ806
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4038774
EFFECTIVE DATE/TIME
  • 2019-10-16 00:00:00
    STATUS:   ACTIVE