TRACH STOMA PROTECTOR,FOAM 2.5IN X 2.5IN LUMINAUD #63037 (30757)    VA PRODUCT (50.68)

Name Value
NAME TRACH STOMA PROTECTOR,FOAM 2.5IN X 2.5IN LUMINAUD #63037
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:   2021-02-23 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TRACH STOMA PROTECT 2.5X2.5IN L#63037
VA PRODUCT IDENTIFIER XK409
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040090
EFFECTIVE DATE/TIME
  • 2021-02-23 00:00:00
    STATUS:   ACTIVE
  • 2021-02-23 00:00:00
    STATUS:   ACTIVE
  • 2021-02-23 00:00:00
    STATUS:   ACTIVE