DRESSING,HYDROFERA BLUE 8IN X 8IN HBRS8820 (27785)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,HYDROFERA BLUE 8IN X 8IN HBRS8820
VA GENERIC NAME DRESSING,HYDROFERA
DOSAGE FORM DRESSING,TOP
NATIONAL FORMULARY NAME DRESSING,HYDROFERA DRESSING,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-08-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESSING,HYDROFERA BLUE 8INX8IN HBRS8820
VA PRODUCT IDENTIFIER XI982
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4036740
EFFECTIVE DATE/TIME
  • 2017-06-16 00:00:00
    STATUS:   ACTIVE