DRESSING,TEGADERM,MATRIX 2IN X 2IN (23993)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,TEGADERM,MATRIX 2IN X 2IN
VA GENERIC NAME DRESSING,TEGADERM MATRIX
DOSAGE FORM DRESSING,TOP
NATIONAL FORMULARY NAME DRESSING,TEGADERM MATRIX 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,TEGADERM,MATRIX 2IN X 2IN
VA PRODUCT IDENTIFIER XH328
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4032515
EFFECTIVE DATE/TIME
  • 2013-06-28 00:00:00
    STATUS:   ACTIVE