TRACH ADAPTER,FLEXIBLE RESPIRONICS #1073863 (31418)    VA PRODUCT (50.68)

Name Value
NAME TRACH ADAPTER,FLEXIBLE RESPIRONICS #1073863
VA GENERIC NAME TRACHEOSTOMY
DOSAGE FORM MISCELLANEOUS
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME TRACHEOSTOMY MISCELLANEOUS
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-09-15 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TRACH ADAPTER,FLEXIBLE R#1073863
VA PRODUCT IDENTIFIER XK862
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040805
EFFECTIVE DATE/TIME
  • 2021-09-16 00:00:00
    STATUS:   ACTIVE
  • 2021-09-16 00:00:00
    STATUS:   ACTIVE
  • 2021-09-16 00:00:00
    STATUS:   ACTIVE