DRESSING,REPLICARE 6IN X 6IN U#483200 (25180)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,REPLICARE 6IN X 6IN U#483200
VA GENERIC NAME DRESSING
DOSAGE FORM DRESSING
NATIONAL FORMULARY NAME DRESSING DRESSING
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,REPLICARE 6X6IN U#483200
VA PRODUCT IDENTIFIER XH791
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4033863
EFFECTIVE DATE/TIME
  • 2014-11-24 00:00:00
    STATUS:   ACTIVE