DRESSING,CHANGE KIT CENTURION #DTSTK02 (28612)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,CHANGE KIT CENTURION #DTSTK02
VA GENERIC NAME DRESSING
DOSAGE FORM KIT
NATIONAL FORMULARY NAME DRESSING KIT
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2018-07-02 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESSING,CHANGE KIT CENTURION #DTSTK02
VA PRODUCT IDENTIFIER XJ365
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037641
EFFECTIVE DATE/TIME
  • 2018-07-03 00:00:00
    STATUS:   ACTIVE