DRESSING,OPTILOCK 8IN X 12IN #MSC64812 (28471)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,OPTILOCK 8IN X 12IN #MSC64812
VA GENERIC NAME DRESSING,OPTILOCK
DOSAGE FORM DRESSING,TOP
NATIONAL FORMULARY NAME DRESSING,OPTILOCK 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,OPTILOCK 8IN X 12IN #MSC64812
VA PRODUCT IDENTIFIER XJ299
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037485
EFFECTIVE DATE/TIME
  • 2018-04-30 00:00:00
    STATUS:   ACTIVE