TUBING,CORRUGATED AEROSOL FLEX BLUE 6FT (31042)    VA PRODUCT (50.68)

Name Value
NAME TUBING,CORRUGATED AEROSOL FLEX BLUE 6FT
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:   2021-04-26 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TUBING,CORRUGATED AEROSOL FLEX BLUE 6FT
VA PRODUCT IDENTIFIER XK621
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040387
EFFECTIVE DATE/TIME
  • 2021-04-26 00:00:00
    STATUS:   ACTIVE
  • 2021-04-26 00:00:00
    STATUS:   ACTIVE
  • 2021-04-26 00:00:00
    STATUS:   ACTIVE