DRESSING,CICA CARE (23601)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,CICA CARE
VA GENERIC NAME SILICONE
DOSAGE FORM DRESSING,TOP
NATIONAL FORMULARY NAME SILICONE 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,CICA CARE
VA PRODUCT IDENTIFIER XH181
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4032077
EFFECTIVE DATE/TIME
  • 2013-02-19 00:00:00
    STATUS:   ACTIVE