STERILE FIELD 18IN X 26IN (24879)    VA PRODUCT (50.68)

Name Value
NAME STERILE FIELD 18IN X 26IN
VA GENERIC NAME STERILE FIELD
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME STERILE FIELD MISCELLANEOUS
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 STERILE FIELD 18IN X 26IN
VA PRODUCT IDENTIFIER XH690
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4033518
EFFECTIVE DATE/TIME
  • 2014-07-18 00:00:00
    STATUS:   ACTIVE