DRESSING,POLYMEM 2IN X 3IN,FERRIS #8203 (28456)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,POLYMEM 2IN X 3IN,FERRIS #8203
VA GENERIC NAME DRESSING
DOSAGE FORM DRESSING,TOP
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2018-06-04 00:00:00
NATIONAL FORMULARY NAME DRESSING DRESSING,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2018-06-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESSING,POLYMEM 2IN X 3IN,FERRIS #8203
VA PRODUCT IDENTIFIER XJ285
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037467
EFFECTIVE DATE/TIME
  • 2018-04-18 00:00:00
    STATUS:   ACTIVE
  • 2018-06-04 00:00:00
    STATUS:   INACTIVE
  • 2018-06-04 00:00:00
    STATUS:   INACTIVE