ADAPTER,ADULT/PEDIATRIC AIRWAY CAREFUSION #CSC100 (32472)    VA PRODUCT (50.68)

Name Value
NAME ADAPTER,ADULT/PEDIATRIC AIRWAY CAREFUSION #CSC100
VA GENERIC NAME ADAPTER
DOSAGE FORM DEVICE
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME ADAPTER DEVICE
CREATE DEFAULT POSSIBLE DOSAGE YES
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2023-01-25 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME ADAPTER,ADULT/PED AIRWAY CAREFUS#CSC100
VA PRODUCT IDENTIFIER XL441
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4041988
EFFECTIVE DATE/TIME
  • 2023-01-26 00:00:00
    STATUS:   ACTIVE