DRESSING,AQUACEL AG ADVANTAGE 4IN X 5IN C#422299 (29656)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,AQUACEL AG ADVANTAGE 4IN X 5IN C#422299
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:   2019-10-24 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESSING,AQUACEL AG ADVAN 4X5IN C#422299
VA PRODUCT IDENTIFIER XJ826
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4038842
EFFECTIVE DATE/TIME
  • 2019-10-25 00:00:00
    STATUS:   ACTIVE