DRESSING,DUODERM 1.25IN X 1.5IN C#1879-32 (11039)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,DUODERM 1.25IN X 1.5IN C#1879-32
VA GENERIC NAME DRESSING,DUODERM
DOSAGE FORM DRESSING,TOP
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2011-09-23 00:00:00
DSS NUMBER 23
NATIONAL FORMULARY NAME DRESSING,DUODERM DRESSING,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESSING,DUODERM 1.25INX1.5IN C#1879-32
VA PRODUCT IDENTIFIER XX423
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4011412
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2011-09-23 00:00:00
    STATUS:   INACTIVE
  • 2011-09-23 00:00:00
    STATUS:   INACTIVE