DRESSING,SORBION SACHET S 4IN X 4IN DRAINAGE (28233)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,SORBION SACHET S 4IN X 4IN DRAINAGE
VA GENERIC NAME DRESSING,SORBION
DOSAGE FORM DRESSING,TOP
NATIONAL FORMULARY NAME DRESSING,SORBION DRESSING,TOP
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,SORBION SACHET S 4X4IN DRAINAGE
VA PRODUCT IDENTIFIER XJ181
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037218
EFFECTIVE DATE/TIME
  • 2018-01-17 00:00:00
    STATUS:   ACTIVE