SUCTION TUBE ATTACHMENT DEVICE SAGE #6513 (30785)    VA PRODUCT (50.68)

Name Value
NAME SUCTION TUBE ATTACHMENT DEVICE SAGE #6513
VA GENERIC NAME TUBE
DOSAGE FORM MISCELLANEOUS
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME TUBE MISCELLANEOUS
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-03-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME SUCTION TUBE ATTACHMENT DEVICE SAGE#6513
VA PRODUCT IDENTIFIER XK429
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040119
EFFECTIVE DATE/TIME
  • 2021-03-01 00:00:00
    STATUS:   ACTIVE
  • 2021-03-01 00:00:00
    STATUS:   ACTIVE
  • 2021-03-01 00:00:00
    STATUS:   ACTIVE