TUBING,SUCTION DEVILBISS #DV7305D611 (31169)    VA PRODUCT (50.68)

Name Value
NAME TUBING,SUCTION DEVILBISS #DV7305D611
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:   2021-06-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TUBING,SUCTION DEVILBISS #DV7305D611
VA PRODUCT IDENTIFIER XK700
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040523
EFFECTIVE DATE/TIME
  • 2021-06-01 00:00:00
    STATUS:   ACTIVE
  • 2021-06-01 00:00:00
    STATUS:   ACTIVE
  • 2021-06-01 00:00:00
    STATUS:   ACTIVE