DRESSING,DRY BURN 18IN X 36IN,8PLY (28246)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,DRY BURN 18IN X 36IN,8PLY
VA GENERIC NAME GAUZE
DOSAGE FORM DRESSING
NATIONAL FORMULARY NAME GAUZE 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 DRESS,DRY BURN 18IN X 36IN 8PLY
VA PRODUCT IDENTIFIER XJ185
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037232
EFFECTIVE DATE/TIME
  • 2018-01-19 00:00:00
    STATUS:   ACTIVE