TRACH CANNULA,SZ 5 SMITH #100856060 (31483)    VA PRODUCT (50.68)

Name Value
NAME TRACH CANNULA,SZ 5 SMITH #100856060
VA GENERIC NAME TRACHEOSTOMY
DOSAGE FORM CANNULA
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME TRACHEOSTOMY CANNULA
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-10-18 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TRACH CANNULA,SZ 5 SMITH #100856060
VA PRODUCT IDENTIFIER XK892
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040877
EFFECTIVE DATE/TIME
  • 2021-10-19 00:00:00
    STATUS:   ACTIVE
  • 2021-10-19 00:00:00
    STATUS:   ACTIVE
  • 2021-10-19 00:00:00
    STATUS:   ACTIVE
  • 2021-10-19 00:00:00
    STATUS:   ACTIVE