MULTIDEX HYDROPHILIC WOUND DRESSING PWDR,DEROYAL#46-702,PKT,25GM (19669)    VA PRODUCT (50.68)

Name Value
NAME MULTIDEX HYDROPHILIC WOUND DRESSING PWDR,DEROYAL#46-702,PKT,25GM
VA GENERIC NAME MULTIDEX
DOSAGE FORM POWDER,TOP
NATIONAL FORMULARY NAME SUPPLY POWDER,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 MULTIDEX PWDR,DEROYAL #46-702 PKT 25GM
VA PRODUCT IDENTIFIER XU190
TRANSMIT TO CMOP NO
VA DISPENSE UNIT PKT
MASTER ENTRY FOR VUID YES
VUID 4027583
EFFECTIVE DATE/TIME
  • 2008-07-17 00:00:00
    STATUS:   ACTIVE