BANDAGE,GAUZE 4.5IN X 4.1YD NONSTERILE (28717)    VA PRODUCT (50.68)

Name Value
NAME BANDAGE,GAUZE 4.5IN X 4.1YD NONSTERILE
VA GENERIC NAME BANDAGE,GAUZE
DOSAGE FORM BANDAGE
NATIONAL FORMULARY NAME BANDAGE,GAUZE BANDAGE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2018-08-24 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BANDAGE,GAUZE 4.5IN X 4.1YD NONSTERILE
VA PRODUCT IDENTIFIER XJ415
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ROLL
MASTER ENTRY FOR VUID YES
VUID 4037764
EFFECTIVE DATE/TIME
  • 2018-08-24 00:00:00
    STATUS:   ACTIVE