DRESSING,DERMANET AG 6IN X 6IN,DEROYAL #46-DN66 (28221)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,DERMANET AG 6IN X 6IN,DEROYAL #46-DN66
VA GENERIC NAME DRESSING
DOSAGE FORM DRESSING
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME DRESSING DRESSING
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,DERMANET AG 6IN X 6IN
VA PRODUCT IDENTIFIER XJ177
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037207
EFFECTIVE DATE/TIME
  • 2018-01-11 00:00:00
    STATUS:   ACTIVE