TRACH CANNULA,SZ 10 SHLY #10IC10 (30703)    VA PRODUCT (50.68)

Name Value
NAME TRACH CANNULA,SZ 10 SHLY #10IC10
VA GENERIC NAME TRACHEOSTOMY
DOSAGE FORM CANNULA
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME TRACHEOSTOMY CANNULA
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-02-08 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TRACH CANNULA,SZ 10 SHLY #10IC10
VA PRODUCT IDENTIFIER XK373
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040028
EFFECTIVE DATE/TIME
  • 2021-02-08 00:00:00
    STATUS:   ACTIVE
  • 2021-02-08 00:00:00
    STATUS:   ACTIVE
  • 2021-02-08 00:00:00
    STATUS:   ACTIVE