DRESSING,AQUACEL HYDROFIBER 0.39IN X 18IN C#420127 (26580)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,AQUACEL HYDROFIBER 0.39IN X 18IN C#420127
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,AQUACEL 0.39IN X 18IN C#420127
VA PRODUCT IDENTIFIER XI411
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4035414
EFFECTIVE DATE/TIME
  • 2016-02-18 00:00:00
    STATUS:   ACTIVE