TUBE FEEDING GT 24FR #0120-24-4.5 (30395)    VA PRODUCT (50.68)

Name Value
NAME TUBE FEEDING GT 24FR #0120-24-4.5
VA GENERIC NAME TUBE
DOSAGE FORM TUBE
HAZARDOUS TO DISPOSE NO
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2022-09-15 00:00:00
NATIONAL FORMULARY NAME TUBE TUBE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2020-09-08 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TUBE FEEDING GT 24FR #0120-24-4.5
VA PRODUCT IDENTIFIER XK228
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4039685
EFFECTIVE DATE/TIME
  • 2020-09-08 00:00:00
    STATUS:   ACTIVE
  • 2020-09-08 00:00:00
    STATUS:   ACTIVE
  • 2020-09-08 00:00:00
    STATUS:   ACTIVE
  • 2022-09-15 00:00:00
    STATUS:   INACTIVE