DRESSING,ACTISORB SILVER 4 1/8IN X 4 1/8IN (25487)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,ACTISORB SILVER 4 1/8IN X 4 1/8IN
VA GENERIC NAME DRESSING,ACTISORB
DOSAGE FORM DRESSING,TOP
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME DRESSING,ACTISORB 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,ACTISORB SILVER 4 1/8X 4 1/8IN
VA PRODUCT IDENTIFIER XH941
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4034211
EFFECTIVE DATE/TIME
  • 2015-02-20 00:00:00
    STATUS:   ACTIVE