MULTIDEX HYDROPHILIC WOUND DRESSING PWDR,DEROYAL #46-704,TUBE,6G (27510)    VA PRODUCT (50.68)

Name Value
NAME MULTIDEX HYDROPHILIC WOUND DRESSING PWDR,DEROYAL #46-704,TUBE,6G
VA GENERIC NAME MULTIDEX
DOSAGE FORM POWDER,TOP
NATIONAL FORMULARY NAME MULTIDEX POWDER,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-04-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME MULTIDEX PWDR,DEROYAL #46-704 TUBE 6GM
VA PRODUCT IDENTIFIER XI861
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TUBE
MASTER ENTRY FOR VUID YES
VUID 4036424
EFFECTIVE DATE/TIME
  • 2017-02-17 00:00:00
    STATUS:   ACTIVE