DRESSING,AQUACEL AG ADVANTAGE 6IN X 6IN C#422298 (28918)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,AQUACEL AG ADVANTAGE 6IN X 6IN C#422298
VA GENERIC NAME DRESSING,AQUACEL
DOSAGE FORM DRESSING
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME DRESSING,AQUACEL DRESSING
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2018-11-21 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESSING,AQUACEL AG ADVAN 6X6IN C#422298
VA PRODUCT IDENTIFIER XJ508
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4038004
EFFECTIVE DATE/TIME
  • 2018-11-26 00:00:00
    STATUS:   ACTIVE