BANDAGE TUBULAR ELASTIC SZ C (28294)    VA PRODUCT (50.68)

Name Value
NAME BANDAGE TUBULAR ELASTIC SZ C
VA GENERIC NAME BANDAGE TUBULAR
DOSAGE FORM BANDAGE
NATIONAL FORMULARY NAME BANDAGE TUBULAR BANDAGE
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 BANDAGE TUBULAR ELASTIC SZ C
VA PRODUCT IDENTIFIER XJ207
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037284
EFFECTIVE DATE/TIME
  • 2018-02-07 00:00:00
    STATUS:   ACTIVE