TRACH ANTI-DISCONNECT DEVICE,MARPAC #900 (30513)    VA PRODUCT (50.68)

Name Value
NAME TRACH ANTI-DISCONNECT DEVICE,MARPAC #900
VA GENERIC NAME TRACHEOSTOMY
DOSAGE FORM DEVICE
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME TRACHEOSTOMY DEVICE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2020-11-04 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TRACH ANTI-DISCONNECT DEVICE,MARPAC #900
VA PRODUCT IDENTIFIER XK268
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4039812
EFFECTIVE DATE/TIME
  • 2020-11-04 00:00:00
    STATUS:   ACTIVE
  • 2020-11-04 00:00:00
    STATUS:   ACTIVE
  • 2020-11-04 00:00:00
    STATUS:   ACTIVE