COVERLET,TOE SHIELD 1.75IN X 2.5IN #0801 (13947)    VA PRODUCT (50.68)

Name Value
NAME COVERLET,TOE SHIELD 1.75IN X 2.5IN #0801
VA GENERIC NAME COVERLET
DOSAGE FORM BANDAGE
NATIONAL FORMULARY NAME COVERLET BANDAGE
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 COVERLET,TOE SHIELD 1.75IN X 2.5IN #0801
VA PRODUCT IDENTIFIER XX948
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4014311
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE