TOOTHBRUSH,SUCTION SAGE #6572 (30868)    VA PRODUCT (50.68)

Name Value
NAME TOOTHBRUSH,SUCTION SAGE #6572
VA GENERIC NAME TOOTHBRUSH
DOSAGE FORM MISCELLANEOUS
HAZARDOUS TO DISPOSE NO
CS FEDERAL SCHEDULE Unscheduled
NATIONAL FORMULARY NAME TOOTHBRUSH MISCELLANEOUS
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-03-11 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TOOTHBRUSH,SUCTION SAGE #6572
VA PRODUCT IDENTIFIER XK496
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040209
EFFECTIVE DATE/TIME
  • 2021-03-11 00:00:00
    STATUS:   ACTIVE
  • 2021-03-11 00:00:00
    STATUS:   ACTIVE
  • 2021-03-11 00:00:00
    STATUS:   ACTIVE
  • 2021-10-18 00:00:00
    STATUS:   INACTIVE
  • 2021-10-18 00:00:00
    STATUS:   INACTIVE
  • 2021-10-18 00:00:00
    STATUS:   INACTIVE
  • 2021-10-18 00:00:00
    STATUS:   INACTIVE
  • 2022-04-26 00:00:00
    STATUS:   ACTIVE