COLLAGEN,AVITENE MICROFIBRILLAR 70X70MM SHEET (23295)    VA PRODUCT (50.68)

Name Value
NAME COLLAGEN,AVITENE MICROFIBRILLAR 70X70MM SHEET
VA GENERIC NAME COLLAGEN,MICROFIBRILLAR
DOSAGE FORM PAD
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2021-08-16 00:00:00
NATIONAL FORMULARY NAME COLLAGEN,MICROFIBRILLAR PAD
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 COLLAGEN,AVITENE MICROFIBRILLAR 70X70MM
VA PRODUCT IDENTIFIER XH009
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4031737
EFFECTIVE DATE/TIME
  • 2012-11-02 00:00:00
    STATUS:   ACTIVE
  • 2021-08-16 00:00:00
    STATUS:   INACTIVE
  • 2021-08-16 00:00:00
    STATUS:   INACTIVE
  • 2021-08-16 00:00:00
    STATUS:   INACTIVE