DRESSING,LYOFOAM T 3.5IN X 2.5IN C#1648-75 (13341)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,LYOFOAM T 3.5IN X 2.5IN C#1648-75
VA GENERIC NAME DRESSING
DOSAGE FORM DRESSING,TOP
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 1999-04-29 00:00:00
NATIONAL FORMULARY NAME DRESSING 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,LYOFOAM T 3.5INX2.5IN C#1648-75
VA PRODUCT IDENTIFIER XX744
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4013706
EFFECTIVE DATE/TIME
  • 1999-04-29 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE