DRESSING,AQUACEL HYDROFIBER 0.75IN X 18IN C#4037-70 (22941)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,AQUACEL HYDROFIBER 0.75IN X 18IN C#4037-70
VA GENERIC NAME DRESSING
DOSAGE FORM DRESSING
NATIONAL FORMULARY NAME DRESSING DRESSING
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,AQUACEL 0.75IN X 18IN C#4037-70
VA PRODUCT IDENTIFIER XR247
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4031317
EFFECTIVE DATE/TIME
  • 2012-03-09 00:00:00
    STATUS:   ACTIVE