DRESSING,ACTICOAT SITE 1IN (24554)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,ACTICOAT SITE 1IN
VA GENERIC NAME DRESSING,ACTICOAT
DOSAGE FORM DRESSING,TOP
NATIONAL FORMULARY NAME DRESSING,ACTICOAT 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,ACTICOAT SITE 1IN
VA PRODUCT IDENTIFIER XH542
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4033148
EFFECTIVE DATE/TIME
  • 2014-03-13 00:00:00
    STATUS:   ACTIVE