DRESSING,INTERSORB 12IN X 18IN #680900 (27005)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,INTERSORB 12IN X 18IN #680900
VA GENERIC NAME GAUZE
DOSAGE FORM DRESSING
NATIONAL FORMULARY NAME GAUZE 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,INTERSORB 12IN X 18IN #680900
VA PRODUCT IDENTIFIER XI598
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4035873
EFFECTIVE DATE/TIME
  • 2016-07-13 00:00:00
    STATUS:   ACTIVE