TRACH STOMA PROTECTOR,FOAM 6CM X 5CM BLOM-SINGER BE6222 (30557)    VA PRODUCT (50.68)

Name Value
NAME TRACH STOMA PROTECTOR,FOAM 6CM X 5CM BLOM-SINGER BE6222
VA GENERIC NAME TRACHEOSTOMY
DOSAGE FORM MISCELLANEOUS
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME TRACHEOSTOMY MISCELLANEOUS
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2020-11-24 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TRACH STOMA PROTECTOR,FOAM 6X5CM BE6222
VA PRODUCT IDENTIFIER XK291
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4039860
EFFECTIVE DATE/TIME
  • 2020-11-25 00:00:00
    STATUS:   ACTIVE
  • 2020-11-25 00:00:00
    STATUS:   ACTIVE
  • 2020-11-25 00:00:00
    STATUS:   ACTIVE