COLLAGEN,AVITENE MICROFIBRILLAR POWDER,TOP (25655)    VA PRODUCT (50.68)

Name Value
NAME COLLAGEN,AVITENE MICROFIBRILLAR POWDER,TOP
VA GENERIC NAME COLLAGEN,MICROFIBRILLAR
DOSAGE FORM POWDER,TOP
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2021-08-16 00:00:00
NATIONAL FORMULARY NAME COLLAGEN,MICROFIBRILLAR POWDER,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME COLLAGEN,AVITENE MICROFIBRILLAR TOP PWDR
VA PRODUCT IDENTIFIER XI028
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4034398
EFFECTIVE DATE/TIME
  • 2015-04-23 00:00:00
    STATUS:   ACTIVE
  • 2021-08-16 00:00:00
    STATUS:   INACTIVE
  • 2021-08-16 00:00:00
    STATUS:   INACTIVE
  • 2021-08-16 00:00:00
    STATUS:   INACTIVE