DRESSING,ALLEVYN GENTLE BORDER LITE 4IN X 4IN #66800835 (24917)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,ALLEVYN GENTLE BORDER LITE 4IN X 4IN #66800835
VA GENERIC NAME DRESSING
DOSAGE FORM DRESSING,TOP
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2023-05-15 00:00:00
NATIONAL FORMULARY NAME DRESSING 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,ALLEVYN GB LITE 4X4IN #66800835
VA PRODUCT IDENTIFIER XH705
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4033560
EFFECTIVE DATE/TIME
  • 2014-08-13 00:00:00
    STATUS:   ACTIVE
  • 2023-01-22 00:00:00
    STATUS:   ACTIVE
  • 2023-05-15 00:00:00
    STATUS:   INACTIVE