| NAME |
DRESSING,INTERDRY AG TEXTILE 10IN X 144IN |
| VA GENERIC NAME |
INTERDRY AG |
| DOSAGE FORM |
DRESSING,TOP |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| INACTIVATION DATE |
2022-02-15 00:00:00 |
| NATIONAL FORMULARY NAME |
INTERDRY AG DRESSING,TOP |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| 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,INTERDRY AG TEXTILE 10 X 144IN |
| VA PRODUCT IDENTIFIER |
XR312 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4031459 |
| EFFECTIVE DATE/TIME |
-
- 2012-06-11 00:00:00
- STATUS: ACTIVE
-
- 2022-02-15 00:00:00
- STATUS: INACTIVE
|
