BANDAGE,ELASTIC,ADHESIVE 2IN X 5YD (23140)    VA PRODUCT (50.68)

Name Value
NAME BANDAGE,ELASTIC,ADHESIVE 2IN X 5YD
VA GENERIC NAME BANDAGE
DOSAGE FORM BANDAGE
NATIONAL FORMULARY NAME BANDAGE BANDAGE
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 BANDAGE,ELASTIC ADHESIVE 2IN X 5YD
VA PRODUCT IDENTIFIER XR346
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ROLL
MASTER ENTRY FOR VUID YES
VUID 4031552
EFFECTIVE DATE/TIME
  • 2012-07-09 00:00:00
    STATUS:   ACTIVE