GAUZE,PACKING IODOFORM 1IN F#559-3211 (11331)    VA PRODUCT (50.68)

Name Value
NAME GAUZE,PACKING IODOFORM 1IN F#559-3211
VA GENERIC NAME GAUZE,IODOFORM
DOSAGE FORM GAUZE
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2000-03-16 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME GAUZE,IODOFORM GAUZE
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 GAUZE,PACKING IODOFORM 1IN X 5YD
VA PRODUCT IDENTIFIER XG002
TRANSMIT TO CMOP NO
VA DISPENSE UNIT BTL
MASTER ENTRY FOR VUID YES
VUID 4011704
EFFECTIVE DATE/TIME
  • 2000-03-16 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE