TRACH FILTER,BLOM-SINGER #BE6223-R2 (31325)    VA PRODUCT (50.68)

Name Value
NAME TRACH FILTER,BLOM-SINGER #BE6223-R2
VA GENERIC NAME TRACHEOSTOMY
DOSAGE FORM DEVICE
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME TRACHEOSTOMY DEVICE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-07-26 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TRACH FILTER,BLOM-SINGER #BE6223-R2
VA PRODUCT IDENTIFIER XK803
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040703
EFFECTIVE DATE/TIME
  • 2021-07-26 00:00:00
    STATUS:   ACTIVE
  • 2021-07-26 00:00:00
    STATUS:   ACTIVE