DRESSING,HYDROFERA BLUE HEAVY DRAINAGE 6IN X 6IN HBHD6675 (29523)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,HYDROFERA BLUE HEAVY DRAINAGE 6IN X 6IN HBHD6675
VA GENERIC NAME DRESSING,HYDROFERA
DOSAGE FORM DRESSING,TOP
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME DRESSING,HYDROFERA DRESSING,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2019-09-17 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESSING,HYDROFERA BLUE 6 X 6IN HBHD6675
VA PRODUCT IDENTIFIER XJ779
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4038703
EFFECTIVE DATE/TIME
  • 2019-09-18 00:00:00
    STATUS:   ACTIVE