DRESSING,RESTORE,HYDROGEL GEL,TOP (18799)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,RESTORE,HYDROGEL GEL,TOP
VA GENERIC NAME DRESSING,RESTORE HYDROGEL
DOSAGE FORM GEL,TOP
NATIONAL FORMULARY NAME DRESSING,RESTORE HYDROGEL GEL,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,HYDROGEL TOP GEL
VA PRODUCT IDENTIFIER XV576
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4026616
EFFECTIVE DATE/TIME
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE