TUBE FEEDING SET,EXTENSION ENFIT#0143-12 (31379)    VA PRODUCT (50.68)

Name Value
NAME TUBE FEEDING SET,EXTENSION ENFIT#0143-12
VA GENERIC NAME TUBE
DOSAGE FORM SET
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME TUBE SET
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-08-23 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TUBE FEEDING SET,EXTENSION ENFIT#0143-12
VA PRODUCT IDENTIFIER XK833
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040763
EFFECTIVE DATE/TIME
  • 2021-08-25 00:00:00
    STATUS:   ACTIVE
  • 2021-08-25 00:00:00
    STATUS:   ACTIVE