| NAME |
TRACH STOMA BUTTON PROVOX #8046 |
| VA GENERIC NAME |
TRACHEOSTOMY |
| DOSAGE FORM |
MISCELLANEOUS |
| HAZARDOUS TO DISPOSE |
NO |
| NATIONAL FORMULARY NAME |
TRACHEOSTOMY MISCELLANEOUS |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2022-12-21 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
TRACH STOMA BUTTON PROVOX #8046 |
| VA PRODUCT IDENTIFIER |
XL415 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4041917 |
| EFFECTIVE DATE/TIME |
-
- 2022-12-23 00:00:00
- STATUS: ACTIVE
|
