DRESSING,COLLAGEN,EQUINE 4IN X 4IN PAD (28738)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,COLLAGEN,EQUINE 4IN X 4IN PAD
VA GENERIC NAME DRESSING
DOSAGE FORM DRESSING,TOP
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME DRESSING DRESSING,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2018-08-31 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESSING,COLLAGEN,EQUINE 4IN X 4IN PAD
VA PRODUCT IDENTIFIER XJ426
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037793
EFFECTIVE DATE/TIME
  • 2018-09-04 00:00:00
    STATUS:   ACTIVE