DRESSING,SEASORB AG 6IN X 6IN C#3765 (20221)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,SEASORB AG 6IN X 6IN C#3765
VA GENERIC NAME DRESSING,SEASORB
DOSAGE FORM DRESSING,TOP
HAZARDOUS TO DISPOSE NO
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 6IN X 6IN C#3765
VA PRODUCT IDENTIFIER XU592
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4028184
EFFECTIVE DATE/TIME
  • 2009-01-09 00:00:00
    STATUS:   ACTIVE