DRESSING,OPTIFOAM ADHESIVE 6IN X 6IN #MSC1066 (22247)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,OPTIFOAM ADHESIVE 6IN X 6IN #MSC1066
VA GENERIC NAME DRESSING,OPTIFOAM
DOSAGE FORM DRESSING,TOP
NATIONAL FORMULARY NAME DRESSING,OPTIFOAM 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,OPTIFOAM ADHESIVE 6X6IN MSC1066
VA PRODUCT IDENTIFIER XT874
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4030515
EFFECTIVE DATE/TIME
  • 2011-04-08 00:00:00
    STATUS:   ACTIVE