DRESSING,VAC SIMPLACE MEDIUM (28219)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,VAC SIMPLACE MEDIUM
VA GENERIC NAME DRESSING,SIMPLACE
DOSAGE FORM KIT
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2021-09-15 00:00:00
NATIONAL FORMULARY NAME DRESSING,SIMPLACE KIT
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2018-03-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESSING,VAC SIMPLACE MEDIUM
VA PRODUCT IDENTIFIER XJ173
TRANSMIT TO CMOP YES
VA DISPENSE UNIT KIT
MASTER ENTRY FOR VUID YES
VUID 4037203
EFFECTIVE DATE/TIME
  • 2018-01-11 00:00:00
    STATUS:   ACTIVE
  • 2021-09-15 00:00:00
    STATUS:   INACTIVE
  • 2021-09-15 00:00:00
    STATUS:   INACTIVE
  • 2021-09-15 00:00:00
    STATUS:   INACTIVE