| NAME |
SUCTION CANISTER,NONSTERILE 2100ML ALLIED HEALTH #01-90-3712 |
| VA GENERIC NAME |
SUCTION CANISTER |
| DOSAGE FORM |
MISCELLANEOUS |
| HAZARDOUS TO DISPOSE |
NO |
| NATIONAL FORMULARY NAME |
SUCTION CANISTER MISCELLANEOUS |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2022-02-16 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
SUCTION CANISTER 2100ML AH#01-90-3712 |
| VA PRODUCT IDENTIFIER |
XL057 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4041158 |
| EFFECTIVE DATE/TIME |
-
- 2022-02-17 00:00:00
- STATUS: ACTIVE
|