SUCTION SET,SUCTION PRO 72 14FR CLOSED CATHETER #Z115N-14 (30656)    VA PRODUCT (50.68)

Name Value
NAME SUCTION SET,SUCTION PRO 72 14FR CLOSED CATHETER #Z115N-14
VA GENERIC NAME SUCTION SET
DOSAGE FORM KIT
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME SUCTION SET KIT
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-01-25 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME SUCTION PRO 72 14FR CLOSED #Z115N14
VA PRODUCT IDENTIFIER XT606
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4039975
EFFECTIVE DATE/TIME
  • 2021-01-25 00:00:00
    STATUS:   ACTIVE
  • 2021-01-25 00:00:00
    STATUS:   ACTIVE
  • 2021-01-25 00:00:00
    STATUS:   ACTIVE