DRESSING,OPSITE FLEXIGRID 4IN X 4.75IN SN#0463-00 (13719)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,OPSITE FLEXIGRID 4IN X 4.75IN SN#0463-00
VA GENERIC NAME DRESSING,OPSITE
DOSAGE FORM DRESSING,TOP
NATIONAL FORMULARY NAME DRESSING,OPSITE 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,OPSITE FLEX 4X4.75IN SN#0463-00
VA PRODUCT IDENTIFIER XX852
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4014084
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE