LARYNGECTOMY TUBE BLOM-SINGER #BE6301 (29688)    VA PRODUCT (50.68)

Name Value
NAME LARYNGECTOMY TUBE BLOM-SINGER #BE6301
VA GENERIC NAME LARYNGEAL
DOSAGE FORM TUBE
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME LARYNGEAL TUBE
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 LARYNGECTOMY TUBE BLOM-SINGER #BE6301
VA PRODUCT IDENTIFIER XJ848
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4038867
EFFECTIVE DATE/TIME
  • 2019-10-30 00:00:00
    STATUS:   ACTIVE