DRESSING,RESTORE 4IN X 4IN H#519921 (18433)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,RESTORE 4IN X 4IN H#519921
VA GENERIC NAME DRESSING,RESTORE
DOSAGE FORM DRESSING,TOP
NATIONAL FORMULARY NAME DRESSING,RESTORE 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,RESTORE 4IN X 4IN H#519921
VA PRODUCT IDENTIFIER XV318
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4026220
EFFECTIVE DATE/TIME
  • 2007-07-24 00:00:00
    STATUS:   ACTIVE