TRACHEAL SUCTION SET 12FR KC #21603 (30894)    VA PRODUCT (50.68)

Name Value
NAME TRACHEAL SUCTION SET 12FR KC #21603
VA GENERIC NAME SUCTION SET
DOSAGE FORM SET
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME SUCTION SET SET
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-03-16 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TRACHEAL SUCTION SET 12FR KC #21603
VA PRODUCT IDENTIFIER XK520
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040233
EFFECTIVE DATE/TIME
  • 2021-03-16 00:00:00
    STATUS:   ACTIVE
  • 2021-03-16 00:00:00
    STATUS:   ACTIVE
  • 2021-03-16 00:00:00
    STATUS:   ACTIVE