DRESSING,COVADERM 4IN X 10IN DEROYAL #46-004 (17932)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,COVADERM 4IN X 10IN DEROYAL #46-004
VA GENERIC NAME DRESSING,COVADERM
DOSAGE FORM DRESSING,TOP
NATIONAL FORMULARY NAME DRESSING,COVADERM 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,COVADERM 4X10IN DEROYAL #46-004
VA PRODUCT IDENTIFIER XV140
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4025634
EFFECTIVE DATE/TIME
  • 2006-10-11 00:00:00
    STATUS:   ACTIVE