DRESSING,COLLAGEN EXTRACELLULAR MATRIX 4IN X 5IN #529313 (28909)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,COLLAGEN EXTRACELLULAR MATRIX 4IN X 5IN #529313
VA GENERIC NAME DRESSING
DOSAGE FORM DRESSING,TOP
HAZARDOUS TO DISPOSE NO
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:   2018-11-16 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESSING,COLLAGEN ECM 4IN X 5IN #529313
VA PRODUCT IDENTIFIER XJ500
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037995
EFFECTIVE DATE/TIME
  • 2018-11-19 00:00:00
    STATUS:   ACTIVE