DRESSING,ENLUXTRA 6IN X 6IN (25845)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,ENLUXTRA 6IN X 6IN
VA GENERIC NAME DRESSING
DOSAGE FORM DRESSING
NATIONAL FORMULARY NAME DRESSING DRESSING
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,ENLUXTRA 6IN X 6IN
VA PRODUCT IDENTIFIER XI091
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4034609
EFFECTIVE DATE/TIME
  • 2015-07-17 00:00:00
    STATUS:   ACTIVE