BANDAGE,STRETCH,ISOBAND 5.9IN X 5.5YD (25720)    VA PRODUCT (50.68)

Name Value
NAME BANDAGE,STRETCH,ISOBAND 5.9IN X 5.5YD
VA GENERIC NAME BANDAGE,STRETCH
DOSAGE FORM BANDAGE
NATIONAL FORMULARY NAME BANDAGE,STRETCH BANDAGE
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 BANDAGE,STRETCH,ISOBAND 5.9IN X 5.5YD
VA PRODUCT IDENTIFIER XI049
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ROLL
MASTER ENTRY FOR VUID YES
VUID 4034470
EFFECTIVE DATE/TIME
  • 2015-05-22 00:00:00
    STATUS:   ACTIVE