TUBE,RECTAL,32FR,PLASTIC B#6420 (31755)    VA PRODUCT (50.68)

Name Value
NAME TUBE,RECTAL,32FR,PLASTIC B#6420
VA GENERIC NAME RECTAL
DOSAGE FORM TUBE
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME RECTAL TUBE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2022-03-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TUBE,RECTAL,32FR,PLASTIC B#6420
VA PRODUCT IDENTIFIER XL074
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4041191
EFFECTIVE DATE/TIME
  • 2022-03-01 00:00:00
    STATUS:   ACTIVE