GRAFTSKIN 3IN(75MM) DIAMETER (14461)    VA PRODUCT (50.68)

Name Value
NAME GRAFTSKIN 3IN(75MM) DIAMETER
VA GENERIC NAME GRAFTSKIN
DOSAGE FORM GRAFT,TOP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2020-12-15 00:00:00
NATIONAL FORMULARY NAME GRAFTSKIN GRAFT,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME GRAFTSKIN 3IN(75MM) DIAMETER
VA PRODUCT IDENTIFIER G0203
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4014825
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2020-12-15 00:00:00
    STATUS:   INACTIVE
  • 2020-12-15 00:00:00
    STATUS:   INACTIVE
  • 2020-12-15 00:00:00
    STATUS:   INACTIVE