DRESSING,MEPITEL 4IN X 4.8IN #297570 (25042)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,MEPITEL 4IN X 4.8IN #297570
VA GENERIC NAME DRESSING,MEPITEL
DOSAGE FORM DRESSING,TOP
NATIONAL FORMULARY NAME DRESSING,MEPITEL 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,MEPITEL 4IN X 4.8IN #297570
VA PRODUCT IDENTIFIER XH743
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4033702
EFFECTIVE DATE/TIME
  • 2014-09-24 00:00:00
    STATUS:   ACTIVE