BANDAGE TUBULAR ELASTIC SZ L C#151442 (23315)    VA PRODUCT (50.68)

Name Value
NAME BANDAGE TUBULAR ELASTIC SZ L C#151442
VA GENERIC NAME BANDAGE TUBULAR
DOSAGE FORM BANDAGE
NATIONAL FORMULARY NAME BANDAGE TUBULAR 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 TUBULAR ELASTIC SZ L C#151442
VA PRODUCT IDENTIFIER XH013
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4031757
EFFECTIVE DATE/TIME
  • 2012-11-21 00:00:00
    STATUS:   ACTIVE