SUCTION SET,1/4IN ALLIED #S610100 (30136)    VA PRODUCT (50.68)

Name Value
NAME SUCTION SET,1/4IN ALLIED #S610100
VA GENERIC NAME SUCTION SET
DOSAGE FORM KIT
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME SUCTION SET KIT
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2020-05-20 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME SUCTION SET,1/4IN ALLIED #S610100
VA PRODUCT IDENTIFIER XK085
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4039385
EFFECTIVE DATE/TIME
  • 2020-05-21 00:00:00
    STATUS:   ACTIVE
  • 2020-05-21 00:00:00
    STATUS:   ACTIVE