TUBING,TRACH SUCTION 3/16IN X 6FT CONMED #0036480 (30132)    VA PRODUCT (50.68)

Name Value
NAME TUBING,TRACH SUCTION 3/16IN X 6FT CONMED #0036480
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:   2020-05-18 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TUBING,TRACH SUCT 3/16INX6FT C#0036480
VA PRODUCT IDENTIFIER XK081
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4039381
EFFECTIVE DATE/TIME
  • 2020-05-18 00:00:00
    STATUS:   ACTIVE
  • 2020-05-18 00:00:00
    STATUS:   ACTIVE