DRESSING,HYDRASORB 8IN X 8IN C#1694-07 (12957)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,HYDRASORB 8IN X 8IN C#1694-07
VA GENERIC NAME DRESSING,HYDRASORB
DOSAGE FORM DRESSING,TOP
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2000-03-07 00:00:00
NATIONAL FORMULARY NAME DRESSING,HYDRASORB 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,HYDRASORB 8IN X 8IN C#1694-07
VA PRODUCT IDENTIFIER D0419
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4013322
EFFECTIVE DATE/TIME
  • 2000-03-07 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE