DRESSING,OPSITE 5 1/2IN X 10IN SN#4967 (19729)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,OPSITE 5 1/2IN X 10IN SN#4967
VA GENERIC NAME DRESSING,OPSITE
DOSAGE FORM DRESSING,TOP
NATIONAL FORMULARY NAME DRESSING,OPSITE 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,OPSITE 5 1/2IN X 10IN SN#4967
VA PRODUCT IDENTIFIER XU248
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4027643
EFFECTIVE DATE/TIME
  • 2008-07-17 00:00:00
    STATUS:   ACTIVE