DRESSING,MEPITEL 8IN X 12IN #292005 (20993)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,MEPITEL 8IN X 12IN #292005
VA GENERIC NAME DRESSING,MEPITEL
DOSAGE FORM DRESSING,TOP
NATIONAL FORMULARY NAME DRESSING,MEPITEL 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,MEPITEL 8IN X 12IN #292005
VA PRODUCT IDENTIFIER XT079
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4029095
EFFECTIVE DATE/TIME
  • 2009-10-01 00:00:00
    STATUS:   ACTIVE