DRESSING,DRAWTEX 3IN X 39IN (29545)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,DRAWTEX 3IN X 39IN
VA GENERIC NAME DRESSING,DRAWTEX
DOSAGE FORM DRESSING,TOP
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME DRESSING,DRAWTEX DRESSING,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2019-09-25 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESSING,DRAWTEX 3IN X 39IN
VA PRODUCT IDENTIFIER XJ787
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ROLL
MASTER ENTRY FOR VUID YES
VUID 4038722
EFFECTIVE DATE/TIME
  • 2019-09-26 00:00:00
    STATUS:   ACTIVE