TRACH STOMA PROTECTOR,BUCHANAN LUMINAUD #38007 (30183)    VA PRODUCT (50.68)

Name Value
NAME TRACH STOMA PROTECTOR,BUCHANAN LUMINAUD #38007
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:   2020-06-09 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TRACH STOMA PROTECTOR,BUCHANAN L#38007
VA PRODUCT IDENTIFIER XK110
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4039442
EFFECTIVE DATE/TIME
  • 2020-06-10 00:00:00
    STATUS:   ACTIVE