PLUROGEL BURN AND WOUND DRESSING GEL (28562)    VA PRODUCT (50.68)

Name Value
NAME PLUROGEL BURN AND WOUND DRESSING GEL
VA GENERIC NAME PLUROGEL
DOSAGE FORM GEL,TOP
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
NATIONAL FORMULARY NAME PLUROGEL GEL,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2018-06-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME PLUROGEL BURN AND WOUND DRESSING GEL
VA PRODUCT IDENTIFIER P1213
TRANSMIT TO CMOP YES
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4037582
EFFECTIVE DATE/TIME
  • 2018-06-04 00:00:00
    STATUS:   ACTIVE
  • 2018-06-04 00:00:00
    STATUS:   ACTIVE