TRACH TUBE,SZ 10 BLOM #313-10-100 (30658)    VA PRODUCT (50.68)

Name Value
NAME TRACH TUBE,SZ 10 BLOM #313-10-100
VA GENERIC NAME TRACHEOSTOMY
DOSAGE FORM TUBE
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME TRACHEOSTOMY TUBE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-01-26 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TRACH TUBE,SZ 10 BLOM #313-10-100
VA PRODUCT IDENTIFIER XK352
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4039977
EFFECTIVE DATE/TIME
  • 2021-01-26 00:00:00
    STATUS:   ACTIVE
  • 2021-01-26 00:00:00
    STATUS:   ACTIVE
  • 2021-01-26 00:00:00
    STATUS:   ACTIVE