| NAME |
BANDAGE,ELASTIC MATRIX 6IN X 5YD MDS#087004 |
| VA GENERIC NAME |
BANDAGE,GAUZE ELASTIC |
| DOSAGE FORM |
BANDAGE |
| CS FEDERAL SCHEDULE |
Unscheduled |
| INACTIVATION DATE |
2000-03-13 00:00:00 |
| NATIONAL FORMULARY NAME |
BANDAGE,ELASTIC BANDAGE |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
BANDAGE,ELASTIC 4INX5YD MDS087006 |
| VA PRODUCT IDENTIFIER |
XY072 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4014477 |
| EFFECTIVE DATE/TIME |
-
- 2000-03-13 00:00:00
- STATUS: INACTIVE
-
- 2005-12-08 00:00:00
- STATUS: INACTIVE
|
