DRESSING,MEPIFORM 1.6IN X 12IN (27643)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,MEPIFORM 1.6IN X 12IN
VA GENERIC NAME DRESSING,MEPIFORM
DOSAGE FORM DRESSING,TOP
NATIONAL FORMULARY NAME DRESSING,MEPIFORM DRESSING,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-06-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESSING,MEPIFORM 1.6IN X 12IN
VA PRODUCT IDENTIFIER XI917
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4036577
EFFECTIVE DATE/TIME
  • 2017-04-14 00:00:00
    STATUS:   ACTIVE