GAUZE PAD 4IN X 8IN 12-PLY STERILE (14431)    VA PRODUCT (50.68)

Name Value
NAME GAUZE PAD 4IN X 8IN 12-PLY STERILE
VA GENERIC NAME GAUZE PAD
DOSAGE FORM GAUZE
NATIONAL FORMULARY NAME GAUZE PAD 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 PAD 4IN X 8IN 12-PLY STERILE
VA PRODUCT IDENTIFIER XY248
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4014795
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE