DRESSING,SORBION SACHET MULTI STAR 3.5IN (27308)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,SORBION SACHET MULTI STAR 3.5IN
VA GENERIC NAME DRESSING,SORBION
DOSAGE FORM DRESSING,TOP
NATIONAL FORMULARY NAME DRESSING,SORBION 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,SORBION SACHET MULTI STAR 3.5IN
VA PRODUCT IDENTIFIER XI746
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4036206
EFFECTIVE DATE/TIME
  • 2016-11-25 00:00:00
    STATUS:   ACTIVE