BANDAGE,ADHESIVE FLEXIBLE FABRIC 2IN X 4IN (24498)    VA PRODUCT (50.68)

Name Value
NAME BANDAGE,ADHESIVE FLEXIBLE FABRIC 2IN X 4IN
VA GENERIC NAME BANDAGE
DOSAGE FORM BANDAGE
NATIONAL FORMULARY NAME BANDAGE 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,FLEXIBLE FABRIC 2IN X 4IN
VA PRODUCT IDENTIFIER XH522
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4033080
EFFECTIVE DATE/TIME
  • 2014-02-19 00:00:00
    STATUS:   ACTIVE