DRESSING,MEPILEX BORDER 4IN X 10IN #295850 (25478)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,MEPILEX BORDER 4IN X 10IN #295850
VA GENERIC NAME DRESSING,MEPILEX
DOSAGE FORM DRESSING,TOP
NATIONAL FORMULARY NAME DRESSING,MEPILEX 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,MEPILEX BORDER 4X10IN #295850
VA PRODUCT IDENTIFIER XH933
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4034202
EFFECTIVE DATE/TIME
  • 2015-02-20 00:00:00
    STATUS:   ACTIVE