BANDAGE KIT,COMPRESSION 4-LAYER (28384)    VA PRODUCT (50.68)

Name Value
NAME BANDAGE KIT,COMPRESSION 4-LAYER
VA GENERIC NAME BANDAGE,COMPRESSION
DOSAGE FORM KIT
NATIONAL FORMULARY NAME BANDAGE,COMPRESSION KIT
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2018-05-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BANDAGE KIT,COMPRESSION 4-LAYER
VA PRODUCT IDENTIFIER XJ249
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037384
EFFECTIVE DATE/TIME
  • 2018-03-26 00:00:00
    STATUS:   ACTIVE