| NAME |
GAUZE PAD,AMD 4IN X 4IN 12-PLY STERILE KEN#2533 |
| VA GENERIC NAME |
GAUZE PAD |
| DOSAGE FORM |
GAUZE |
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY NAME |
GAUZE PAD GAUZE |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
GAUZE,AMD 4INX4IN 12-PLY STERILE #2533 |
| VA PRODUCT IDENTIFIER |
XT286 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4029422 |
| EFFECTIVE DATE/TIME |
-
- 2009-12-04 00:00:00
- STATUS: ACTIVE
|
