| NAME |
DRESSING,VAC GRANUFOAM SILVER SMALL |
| VA GENERIC NAME |
DRESSING,GRANUFOAM |
| DOSAGE FORM |
KIT |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| INACTIVATION DATE |
2021-09-15 00:00:00 |
| NATIONAL FORMULARY NAME |
DRESSING,GRANUFOAM KIT |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| 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,VAC GRANUFOAM AG SMALL |
| VA PRODUCT IDENTIFIER |
XH683 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
KIT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4033506 |
| EFFECTIVE DATE/TIME |
-
- 2014-07-14 00:00:00
- STATUS: ACTIVE
-
- 2021-09-15 00:00:00
- STATUS: INACTIVE
-
- 2021-09-15 00:00:00
- STATUS: INACTIVE
-
- 2021-09-15 00:00:00
- STATUS: INACTIVE
|
