WOUND CARE KIT,DEROYAL #47-758 (22216)    VA PRODUCT (50.68)

Name Value
NAME WOUND CARE KIT,DEROYAL #47-758
VA GENERIC NAME WOUND CARE
DOSAGE FORM KIT
NATIONAL FORMULARY NAME WOUND CARE KIT
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 WOUND CARE KIT,DEROYAL #47-758
VA PRODUCT IDENTIFIER XT865
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4030469
EFFECTIVE DATE/TIME
  • 2011-03-04 00:00:00
    STATUS:   ACTIVE