DRESSING,OPSITE POST-OP 3 3/4IN X 3 3/8IN SN#66000709 (28619)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,OPSITE POST-OP 3 3/4IN X 3 3/8IN SN#66000709
VA GENERIC NAME DRESSING,OPSITE
DOSAGE FORM DRESSING,TOP
NATIONAL FORMULARY NAME DRESSING,OPSITE DRESSING,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2018-07-05 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESS,OPSITE POST-OP 3 3/4IN X 3 3/8IN
VA PRODUCT IDENTIFIER XJ369
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037653
EFFECTIVE DATE/TIME
  • 2018-07-05 00:00:00
    STATUS:   ACTIVE