BANDAGE TUBULAR ELASTIC 4IN X 11YD GLF10 (20152)    VA PRODUCT (50.68)

Name Value
NAME BANDAGE TUBULAR ELASTIC 4IN X 11YD GLF10
VA GENERIC NAME BANDAGE TUBULAR
DOSAGE FORM BANDAGE
NATIONAL FORMULARY NAME BANDAGE TUBULAR 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 TUBULAR ELASTIC 4IN X 11YD GLF10
VA PRODUCT IDENTIFIER XU541
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ROLL
MASTER ENTRY FOR VUID YES
VUID 4028115
EFFECTIVE DATE/TIME
  • 2009-01-09 00:00:00
    STATUS:   ACTIVE