DRESSING,MEPILEX BORDER LITE 3IN X 3IN #281200 (19946)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,MEPILEX BORDER LITE 3IN X 3IN #281200
VA GENERIC NAME DRESSING,MEPILEX
DOSAGE FORM DRESSING,TOP
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2022-06-15 00:00:00
NATIONAL FORMULARY NAME DRESSING,MEPILEX 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,MEPILEX BORDER LITE 3X3IN
VA PRODUCT IDENTIFIER D0791
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4027883
EFFECTIVE DATE/TIME
  • 2008-09-12 00:00:00
    STATUS:   ACTIVE
  • 2022-06-15 00:00:00
    STATUS:   INACTIVE