DRESSING,COPA 6IN X 6IN KEN#55566 (18080)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,COPA 6IN X 6IN KEN#55566
VA GENERIC NAME DRESSING,COPA
DOSAGE FORM DRESSING,TOP
NATIONAL FORMULARY NAME DRESSING,COPA 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,COPA 6IN X 6IN KEN#55566
VA PRODUCT IDENTIFIER XV202
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4025811
EFFECTIVE DATE/TIME
  • 2007-01-25 00:00:00
    STATUS:   ACTIVE