DRESSING,MEPILEX BORDER HEEL 8.7IN X 9.1IN (28746)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,MEPILEX BORDER HEEL 8.7IN X 9.1IN
VA GENERIC NAME DRESSING,MEPILEX
DOSAGE FORM DRESSING,TOP
NATIONAL FORMULARY NAME DRESSING,MEPILEX DRESSING,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2018-09-06 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESSING,MEPILEX BORDER HEEL 8.7INX9.1IN
VA PRODUCT IDENTIFIER XJ429
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037804
EFFECTIVE DATE/TIME
  • 2018-09-07 00:00:00
    STATUS:   ACTIVE