| NAME |
BANDAGE,HIGH COMPRESSION 4IN X 3.8YD MOLNLYCKE |
| VA GENERIC NAME |
BANDAGE,HIGH COMPRESSION |
| DOSAGE FORM |
BANDAGE |
| HAZARDOUS TO DISPOSE |
NO |
| NATIONAL FORMULARY NAME |
BANDAGE,HIGH COMPRESSION BANDAGE |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2018-11-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
BANDAGE,HI COMPRESS 4INX3.8YD MOLNLYCKE |
| VA PRODUCT IDENTIFIER |
XJ509 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4038016 |
| EFFECTIVE DATE/TIME |
-
- 2018-11-27 00:00:00
- STATUS: ACTIVE
|
