TRACH STOMA PROTECTOR,CLOTH WHITE BLOM-SINGER BE6201 (29674)    VA PRODUCT (50.68)

Name Value
NAME TRACH STOMA PROTECTOR,CLOTH WHITE BLOM-SINGER BE6201
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:   2019-10-29 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TRACH STOMA PROTECTOR,CLOTH WHITE BE6201
VA PRODUCT IDENTIFIER XJ841
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4038860
EFFECTIVE DATE/TIME
  • 2019-10-29 00:00:00
    STATUS:   ACTIVE