LARYNGECTOMY TUBE PROVOX #7422 (32528)    VA PRODUCT (50.68)

Name Value
NAME LARYNGECTOMY TUBE PROVOX #7422
VA GENERIC NAME LARYNGEAL
DOSAGE FORM TUBE
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME LARYNGEAL TUBE
CREATE DEFAULT POSSIBLE DOSAGE YES
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2023-02-23 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME LARYNGECTOMY TUBE PROVOX #7422
VA PRODUCT IDENTIFIER XL470
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4042048
EFFECTIVE DATE/TIME
  • 2023-02-23 00:00:00
    STATUS:   ACTIVE