DRESSING,STRATASORB 6IN X 7.5IN MSC#3068 (14089)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,STRATASORB 6IN X 7.5IN MSC#3068
VA GENERIC NAME DRESSING,STRATASORB
DOSAGE FORM DRESSING,TOP
NATIONAL FORMULARY NAME DRESSING,STRATASORB 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,STRATASORB 6IN X 7.5IN MSC#3068
VA PRODUCT IDENTIFIER XY061
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4014453
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE