TUBE,RECTAL,24FR,PLASTIC CARDINAL #155731 (30927)    VA PRODUCT (50.68)

Name Value
NAME TUBE,RECTAL,24FR,PLASTIC CARDINAL #155731
VA GENERIC NAME RECTAL
DOSAGE FORM TUBE
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME RECTAL TUBE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-03-25 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TUBE,RECTAL,24FR,PLASTIC CARDINAL#155731
VA PRODUCT IDENTIFIER XK545
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040265
EFFECTIVE DATE/TIME
  • 2021-03-25 00:00:00
    STATUS:   ACTIVE
  • 2021-03-25 00:00:00
    STATUS:   ACTIVE
  • 2021-03-25 00:00:00
    STATUS:   ACTIVE