TRANSPARENT DRESSING W/BORDER 4IN X 4.5IN (26656)    VA PRODUCT (50.68)

Name Value
NAME TRANSPARENT DRESSING W/BORDER 4IN X 4.5IN
VA GENERIC NAME TRANSPARENT DRESSING
DOSAGE FORM DRESSING
NATIONAL FORMULARY NAME TRANSPARENT 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 TRANSPARENT DRESSING W/BDR 4X4.5IN
VA PRODUCT IDENTIFIER XI437
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4035492
EFFECTIVE DATE/TIME
  • 2016-03-14 00:00:00
    STATUS:   ACTIVE