TUBING,SUCTION DEVILBISS #SUCP-10 (31040)    VA PRODUCT (50.68)

Name Value
NAME TUBING,SUCTION DEVILBISS #SUCP-10
VA GENERIC NAME TUBE
DOSAGE FORM TUBE
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME TUBE TUBE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-04-23 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TUBING,SUCTION DEVILBISS #SUCP-10
VA PRODUCT IDENTIFIER XK619
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040385
EFFECTIVE DATE/TIME
  • 2021-04-23 00:00:00
    STATUS:   ACTIVE
  • 2021-04-23 00:00:00
    STATUS:   ACTIVE
  • 2021-04-23 00:00:00
    STATUS:   ACTIVE