DRESSING,ACTICOAT BURN 4IN X 8IN (22957)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,ACTICOAT BURN 4IN X 8IN
VA GENERIC NAME DRESSING,ACTICOAT
DOSAGE FORM DRESSING,TOP
NATIONAL FORMULARY NAME DRESSING,ACTICOAT 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,ACTICOAT BURN 4IN X 8IN
VA PRODUCT IDENTIFIER XR251
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4031341
EFFECTIVE DATE/TIME
  • 2012-04-06 00:00:00
    STATUS:   ACTIVE