TRACH TUBE,SZ 7 CUFFED SHLY #5CN70H (31247)    VA PRODUCT (50.68)

Name Value
NAME TRACH TUBE,SZ 7 CUFFED SHLY #5CN70H
VA GENERIC NAME TRACHEOSTOMY
DOSAGE FORM TUBE
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME TRACHEOSTOMY TUBE
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-06-28 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TRACH TUBE,SZ 7 CUFFED SHLY #5CN70H
VA PRODUCT IDENTIFIER XK732
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040601
EFFECTIVE DATE/TIME
  • 2021-06-29 00:00:00
    STATUS:   ACTIVE
  • 2021-06-29 00:00:00
    STATUS:   ACTIVE
  • 2021-06-29 00:00:00
    STATUS:   ACTIVE
  • 2021-06-29 00:00:00
    STATUS:   ACTIVE