TRACH TUBE,SZ 6 CUFFLESS/FENESTRATED SHLY #6-LGT (30817)    VA PRODUCT (50.68)

Name Value
NAME TRACH TUBE,SZ 6 CUFFLESS/FENESTRATED SHLY #6-LGT
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:   2021-03-09 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TRACH TUBE,SZ 6 CUFFLESS/FEN SHLY#6-LGT
VA PRODUCT IDENTIFIER XK459
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040152
EFFECTIVE DATE/TIME
  • 2021-03-10 00:00:00
    STATUS:   ACTIVE
  • 2021-03-10 00:00:00
    STATUS:   ACTIVE
  • 2021-03-10 00:00:00
    STATUS:   ACTIVE