BANDAGE,STRETCH,CONFORM 4IN X 75IN NONSTERILE K#2247 (16872)    VA PRODUCT (50.68)

Name Value
NAME BANDAGE,STRETCH,CONFORM 4IN X 75IN NONSTERILE K#2247
VA GENERIC NAME BANDAGE,STRETCH
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME BANDAGE,STRETCH MISCELLANEOUS
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 BANDAGE,CONFORM 4X75IN NONSTERILE K#2247
VA PRODUCT IDENTIFIER XZ887
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4017235
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE