COVERLET,DIGIT SHIELD,GEL L/XL #10206 (25954)    VA PRODUCT (50.68)

Name Value
NAME COVERLET,DIGIT SHIELD,GEL L/XL #10206
VA GENERIC NAME COVERLET
DOSAGE FORM BANDAGE
NATIONAL FORMULARY NAME COVERLET 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 COVERLET,DIGIT SHIELD,GEL L/XL #10206
VA PRODUCT IDENTIFIER XI149
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4034728
EFFECTIVE DATE/TIME
  • 2015-08-14 00:00:00
    STATUS:   ACTIVE