LARYNGECTOMY TUBE BLOM-SINGER #BE6399 (30371)    VA PRODUCT (50.68)

Name Value
NAME LARYNGECTOMY TUBE BLOM-SINGER #BE6399
VA GENERIC NAME LARYNGEAL
DOSAGE FORM TUBE
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME LARYNGEAL TUBE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2020-08-28 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME LARYNGECTOMY TUBE BLOM-SINGER #BE6399
VA PRODUCT IDENTIFIER XK210
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4039658
EFFECTIVE DATE/TIME
  • 2020-08-31 00:00:00
    STATUS:   ACTIVE
  • 2020-08-31 00:00:00
    STATUS:   ACTIVE
  • 2020-08-31 00:00:00
    STATUS:   ACTIVE