TUBE FEEDING SET,Y-SITE EXTENSION COVID#8884705008E (30329)    VA PRODUCT (50.68)

Name Value
NAME TUBE FEEDING SET,Y-SITE EXTENSION COVID#8884705008E
VA GENERIC NAME TUBE
DOSAGE FORM SET
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME TUBE SET
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2020-08-12 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TUBE FEED SET,Y-SITE EXT COV#8884705008E
VA PRODUCT IDENTIFIER XK188
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4039605
EFFECTIVE DATE/TIME
  • 2020-08-13 00:00:00
    STATUS:   ACTIVE
  • 2020-08-13 00:00:00
    STATUS:   ACTIVE