GAUZE,PETROLATUM 0.5IN X 72IN KEN#4116-00 (14410)    VA PRODUCT (50.68)

Name Value
NAME GAUZE,PETROLATUM 0.5IN X 72IN KEN#4116-00
VA GENERIC NAME GAUZE,PETROLATUM
DOSAGE FORM GAUZE
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2012-03-02 00:00:00
NATIONAL FORMULARY NAME GAUZE,PETROLATUM GAUZE
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 GAUZE,PETROLATUM 0.5INX72IN KEN#4116-00
VA PRODUCT IDENTIFIER XY227
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4014774
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2012-01-19 00:00:00
    STATUS:   INACTIVE
  • 2012-02-06 00:00:00
    STATUS:   ACTIVE
  • 2012-03-02 00:00:00
    STATUS:   INACTIVE