DRESSING,HYDROCOL SACRAL (13807)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,HYDROCOL SACRAL
VA GENERIC NAME DRESSING
DOSAGE FORM DRESSING
NATIONAL FORMULARY NAME DRESSING
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,HYDROCOL SACRAL
VA PRODUCT IDENTIFIER XX894
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4014171
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE