RESPIRATORY TUBING CA 70 #1090835 (30551)    VA PRODUCT (50.68)

Name Value
NAME RESPIRATORY TUBING CA 70 #1090835
VA GENERIC NAME TUBE
DOSAGE FORM MISCELLANEOUS
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME TUBE MISCELLANEOUS
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2020-11-20 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME RESPIRATORY TUBING CA 70 #1090835
VA PRODUCT IDENTIFIER XK285
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4039853
EFFECTIVE DATE/TIME
  • 2020-11-20 00:00:00
    STATUS:   ACTIVE
  • 2020-11-20 00:00:00
    STATUS:   ACTIVE
  • 2020-11-20 00:00:00
    STATUS:   ACTIVE