DRESSING,AQUACEL AG 0.75IN X 18IN C#403771 (20915)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,AQUACEL AG 0.75IN X 18IN C#403771
VA GENERIC NAME DRESSING,AQUACEL
DOSAGE FORM DRESSING
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2021-02-15 00:00:00
NATIONAL FORMULARY NAME DRESSING,AQUACEL DRESSING
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,AQUACEL AG 0.75INX18IN C#403771
VA PRODUCT IDENTIFIER XU989
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4028995
EFFECTIVE DATE/TIME
  • 2009-09-09 00:00:00
    STATUS:   ACTIVE
  • 2021-02-15 00:00:00
    STATUS:   INACTIVE
  • 2021-02-15 00:00:00
    STATUS:   INACTIVE
  • 2021-02-15 00:00:00
    STATUS:   INACTIVE