DRESSING,PRIMAPORE 2IN X 3IN (20940)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,PRIMAPORE 2IN X 3IN
VA GENERIC NAME DRESSING,PRIMAPORE
DOSAGE FORM DRESSING,TOP
NATIONAL FORMULARY NAME DRESSING 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,PRIMAPORE 2IN X 3IN
VA PRODUCT IDENTIFIER XU995
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4029020
EFFECTIVE DATE/TIME
  • 2009-09-09 00:00:00
    STATUS:   ACTIVE