DRESSING,HYDROFERA BLUE TUNNELING 9MM X 6IN HBT090 (23377)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,HYDROFERA BLUE TUNNELING 9MM X 6IN HBT090
VA GENERIC NAME DRESSING,HYDROFERA
DOSAGE FORM DRESSING,TOP
NATIONAL FORMULARY NAME DRESSING,HYDROFERA 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,HYDROFERA BLUE TUNNEL HBT0906
VA PRODUCT IDENTIFIER XH048
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4031833
EFFECTIVE DATE/TIME
  • 2012-12-18 00:00:00
    STATUS:   ACTIVE