DRESSING,SEASORB AG 2IN X 2IN C#3755 (20220)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,SEASORB AG 2IN X 2IN C#3755
VA GENERIC NAME DRESSING,SEASORB
DOSAGE FORM DRESSING,TOP
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 2IN X 2IN C#3755
VA PRODUCT IDENTIFIER XU591
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4028183
EFFECTIVE DATE/TIME
  • 2009-01-09 00:00:00
    STATUS:   ACTIVE