DRESSING,DUODERM SIGNAL HEEL 7.5IN X 8IN C#4105-00 (19073)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,DUODERM SIGNAL HEEL 7.5IN X 8IN C#4105-00
VA GENERIC NAME DRESSING,DUODERM
DOSAGE FORM DRESSING,TOP
NATIONAL FORMULARY NAME DRESSING,DUODERM 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,DUODERM 7.5IN X 8IN C#4105-00
VA PRODUCT IDENTIFIER XV802
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4026911
EFFECTIVE DATE/TIME
  • 2007-12-20 00:00:00
    STATUS:   ACTIVE