DRESSING,VAC GRANUFOAM X-LARGE (22492)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,VAC GRANUFOAM X-LARGE
VA GENERIC NAME DRESSING,GRANUFOAM
DOSAGE FORM KIT
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2021-09-15 00:00:00
NATIONAL FORMULARY NAME DRESSING,GRANUFOAM 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 DRESSING,VAC GRANUFOAM X-LARGE
VA PRODUCT IDENTIFIER XR049
TRANSMIT TO CMOP YES
VA DISPENSE UNIT KIT
MASTER ENTRY FOR VUID YES
VUID 4030785
EFFECTIVE DATE/TIME
  • 2011-07-12 00:00:00
    STATUS:   ACTIVE
  • 2021-09-15 00:00:00
    STATUS:   INACTIVE
  • 2021-09-15 00:00:00
    STATUS:   INACTIVE
  • 2021-09-15 00:00:00
    STATUS:   INACTIVE