TRACH CANNULA, SZ 10 MONTGOMERY 331025 (30025)    VA PRODUCT (50.68)

Name Value
NAME TRACH CANNULA, SZ 10 MONTGOMERY 331025
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:   2020-04-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TRACH CANNULA, SZ 10 MONTGOMERY 331025
VA PRODUCT IDENTIFIER XK041
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4039263
EFFECTIVE DATE/TIME
  • 2020-04-01 00:00:00
    STATUS:   ACTIVE
  • 2022-09-15 00:00:00
    STATUS:   INACTIVE
  • 2022-10-11 00:00:00
    STATUS:   ACTIVE