TUBE FEEDING SET,EXTENSION BOLUS AMT #6-2411 (31437)    VA PRODUCT (50.68)

Name Value
NAME TUBE FEEDING SET,EXTENSION BOLUS AMT #6-2411
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:   2021-09-24 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TUBE FEEDING SET,EXT BOLUS AMT#6-2411
VA PRODUCT IDENTIFIER XK869
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040820
EFFECTIVE DATE/TIME
  • 2021-09-27 00:00:00
    STATUS:   ACTIVE
  • 2021-09-27 00:00:00
    STATUS:   ACTIVE
  • 2021-09-27 00:00:00
    STATUS:   ACTIVE