DRESSING,POLYMEM 4IN X 5IN,FERRIS #0405 (13532)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,POLYMEM 4IN X 5IN,FERRIS #0405
VA GENERIC NAME DRESSING
DOSAGE FORM DRESSING,TOP
CS FEDERAL SCHEDULE Unscheduled
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,POLYMEM 4IN X 5IN,FERRIS #0405
VA PRODUCT IDENTIFIER XX825
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4013897
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2021-06-15 00:00:00
    STATUS:   INACTIVE
  • 2021-06-15 00:00:00
    STATUS:   INACTIVE
  • 2021-08-09 00:00:00
    STATUS:   ACTIVE
  • 2021-06-15 00:00:00
    STATUS:   INACTIVE
  • 2021-11-04 00:00:00
    STATUS:   ACTIVE