DRESSING,ALGICELL CALCIUM ALGINATE AG 2IN X 2IN (28458)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,ALGICELL CALCIUM ALGINATE AG 2IN X 2IN
VA GENERIC NAME DRESSING,ALGICELL
DOSAGE FORM DRESSING,TOP
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME DRESSING,ALGICELL 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 DRESS,ALGICELL CA ALGINATE AG 2X2IN
VA PRODUCT IDENTIFIER XJ292
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037475
EFFECTIVE DATE/TIME
  • 2018-04-19 00:00:00
    STATUS:   ACTIVE