DRESSING,THERAGAUZE 2IN X 2IN (21379)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,THERAGAUZE 2IN X 2IN
VA GENERIC NAME DRESSING,THERAGAUZE
DOSAGE FORM DRESSING,TOP
NATIONAL FORMULARY NAME DRESSING,THERAGAUZE 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,THERAGAUZE 2IN X 2IN
VA PRODUCT IDENTIFIER XT356
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4029522
EFFECTIVE DATE/TIME
  • 2010-01-12 00:00:00
    STATUS:   ACTIVE