DRESSING,OPTIFOAM NON-ADHESIVE HEEL #MSC1200 (24318)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,OPTIFOAM NON-ADHESIVE HEEL #MSC1200
VA GENERIC NAME DRESSING,OPTIFOAM
DOSAGE FORM DRESSING,TOP
NATIONAL FORMULARY NAME DRESSING,OPTIFOAM 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,OPTIFOAM NON-ADHES HEEL#MSC1200
VA PRODUCT IDENTIFIER XH430
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4032877
EFFECTIVE DATE/TIME
  • 2013-11-25 00:00:00
    STATUS:   ACTIVE