SUCTION CANISTER 800ML DEVILBISS #610-12B (30146)    VA PRODUCT (50.68)

Name Value
NAME SUCTION CANISTER 800ML DEVILBISS #610-12B
VA GENERIC NAME SUCTION CANISTER
DOSAGE FORM MISCELLANEOUS
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME SUCTION CANISTER MISCELLANEOUS
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2020-05-22 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME SUCTION CANISTER 800ML DV#610-12B
VA PRODUCT IDENTIFIER XK089
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4039399
EFFECTIVE DATE/TIME
  • 2020-05-26 00:00:00
    STATUS:   ACTIVE
  • 2020-05-26 00:00:00
    STATUS:   ACTIVE