DRESSING,SEASORB AG 4IN X 4IN C#3760 (20219)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,SEASORB AG 4IN X 4IN C#3760
VA GENERIC NAME DRESSING,SEASORB
DOSAGE FORM DRESSING,TOP
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2020-07-15 00:00:00
NATIONAL FORMULARY NAME DRESSING,SEASORB 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,SEASORB AG 4IN X 4IN C#3760
VA PRODUCT IDENTIFIER XU590
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4028182
EFFECTIVE DATE/TIME
  • 2009-01-09 00:00:00
    STATUS:   ACTIVE
  • 2020-07-15 00:00:00
    STATUS:   INACTIVE