VASHE WOUND THERAPY SOLN,TOP (25660)    VA PRODUCT (50.68)

Name Value
NAME VASHE WOUND THERAPY SOLN,TOP
VA GENERIC NAME VASHE
DOSAGE FORM SOLN,TOP
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME VASHE SOLN,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 VASHE WOUND THERAPY TOP SOLN
VA PRODUCT IDENTIFIER V0261
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4034405
EFFECTIVE DATE/TIME
  • 2015-04-24 00:00:00
    STATUS:   ACTIVE