DRESSING,XEROFORM 2IN X 2IN #433400 (27180)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,XEROFORM 2IN X 2IN #433400
VA GENERIC NAME DRESSING,XEROFORM
DOSAGE FORM DRESSING,TOP
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME DRESSING,XEROFORM DRESSING,TOP
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,XEROFORM 2IN X 2IN #433400
VA PRODUCT IDENTIFIER XI678
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4036064
EFFECTIVE DATE/TIME
  • 2016-09-26 00:00:00
    STATUS:   ACTIVE