WIPE,TENS CLEAN-COTE SKIN DRESSING (18842)    VA PRODUCT (50.68)

Name Value
NAME WIPE,TENS CLEAN-COTE SKIN DRESSING
VA GENERIC NAME DRESSING,TENS
DOSAGE FORM WIPE
NATIONAL FORMULARY NAME DRESSING,TENS WIPE
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 WIPE,TENS CLEAN-COTE SKIN DRESSING
VA PRODUCT IDENTIFIER XV609
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4026669
EFFECTIVE DATE/TIME
  • 2007-11-14 00:00:00
    STATUS:   ACTIVE