| NAME |
DRESSING,OPSITE IV3000 FRAME 2 3/8IN X 3 3/4IN SN#59410000 |
| VA GENERIC NAME |
DRESSING,OPSITE |
| DOSAGE FORM |
DRESSING,TOP |
| CS FEDERAL SCHEDULE |
Unscheduled |
| INACTIVATION DATE |
2006-08-17 00:00:00 |
| NATIONAL FORMULARY NAME |
DRESSING,OPSITE DRESSING,TOP |
| 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 |
DRESSING,IV3000 FRAME 2.37X3.75IN #10000 |
| VA PRODUCT IDENTIFIER |
XV115 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4015423 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
-
- 2006-08-17 00:00:00
- STATUS: INACTIVE
|
