| NAME |
BANDAGE KIT,DOUBLE-ARM COMPRESSION,ROSIDAL |
| VA GENERIC NAME |
BANDAGE,COMPRESSION |
| DOSAGE FORM |
KIT |
| NATIONAL FORMULARY NAME |
BANDAGE,COMPRESSION KIT |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| 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 KIT,DOUBLE-ARM COMPRESS,ROSIDAL |
| VA PRODUCT IDENTIFIER |
XI143 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4034714 |
| EFFECTIVE DATE/TIME |
-
- 2015-08-14 00:00:00
- STATUS: ACTIVE
|
