BANDAGE,GAUZE,STRETCH 4IN X 75IN STERILE (19500)    VA PRODUCT (50.68)

Name Value
NAME BANDAGE,GAUZE,STRETCH 4IN X 75IN STERILE
VA GENERIC NAME BANDAGE,GAUZE
DOSAGE FORM BANDAGE
NATIONAL FORMULARY NAME BANDAGE,GAUZE BANDAGE
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 BANDAGE,GAUZE,STRETCH 4IN X 75IN STERILE
VA PRODUCT IDENTIFIER XU081
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ROLL
MASTER ENTRY FOR VUID YES
VUID 4027394
EFFECTIVE DATE/TIME
  • 2008-05-15 00:00:00
    STATUS:   ACTIVE