BANDAGE,ELASTIC,2-LAYER 4IN (COBAN) (20798)    VA PRODUCT (50.68)

Name Value
NAME BANDAGE,ELASTIC,2-LAYER 4IN (COBAN)
VA GENERIC NAME BANDAGE
DOSAGE FORM BANDAGE
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME BANDAGE 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,ELASTIC,2-LAYER 4IN (COBAN)
VA PRODUCT IDENTIFIER XU916
TRANSMIT TO CMOP YES
VA DISPENSE UNIT PKG
MASTER ENTRY FOR VUID YES
VUID 4028864
EFFECTIVE DATE/TIME
  • 2009-08-11 00:00:00
    STATUS:   ACTIVE