DRESSING,SPAND-GEL WOUND GEL,TOP (21987)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,SPAND-GEL WOUND GEL,TOP
VA GENERIC NAME DRESSING,SPAND-GEL
DOSAGE FORM GEL,TOP
NATIONAL FORMULARY NAME SPAND-GEL GEL,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESSING,SPAND-GEL WOUND TOP GEL
VA PRODUCT IDENTIFIER XT735
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4030200
EFFECTIVE DATE/TIME
  • 2010-10-13 00:00:00
    STATUS:   ACTIVE