| NAME |
DRESSING,OPSITE IV3000 FRAME 2 3/8IN X 2 3/4IN SN#59410082 |
| VA GENERIC NAME |
DRESSING,OPSITE |
| DOSAGE FORM |
DRESSING,TOP |
| 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 2.37X2.75 #10082 |
| VA PRODUCT IDENTIFIER |
XV189 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4025771 |
| EFFECTIVE DATE/TIME |
-
- 2006-11-29 00:00:00
- STATUS: ACTIVE
|
