COVERLET,PATCH 4IN X 2.75IN #7801000 (26980)    VA PRODUCT (50.68)

Name Value
NAME COVERLET,PATCH 4IN X 2.75IN #7801000
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,PATCH 4IN X 2.75IN #7801000
VA PRODUCT IDENTIFIER XI589
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4035841
EFFECTIVE DATE/TIME
  • 2016-06-28 00:00:00
    STATUS:   ACTIVE