DRESSING,CURAFOAM 4IN X 4IN DRAIN SPONGE K#9392 (16041)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,CURAFOAM 4IN X 4IN DRAIN SPONGE K#9392
VA GENERIC NAME DRESSING,CURAFOAM
DOSAGE FORM DRESSING,TOP
NATIONAL FORMULARY NAME DRESSING,CURAFOAM DRESSING,TOP
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 DRESSING,CURAFOAM 4IN X 4IN DRAIN K#9392
VA PRODUCT IDENTIFIER XZ669
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4016404
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE