BANDAGE,SURESEAL 1IN X 2 3/4IN (28622)    VA PRODUCT (50.68)

Name Value
NAME BANDAGE,SURESEAL 1IN X 2 3/4IN
VA GENERIC NAME BANDAGE
DOSAGE FORM BANDAGE
NATIONAL FORMULARY NAME BANDAGE BANDAGE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2018-07-06 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BANDAGE,SURESEAL 1IN X 2 3/4IN
VA PRODUCT IDENTIFIER XJ371
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037655
EFFECTIVE DATE/TIME
  • 2018-07-06 00:00:00
    STATUS:   ACTIVE