BANDAGE,SURESEAL 1 1/4IN X 2 3/4IN (29665)    VA PRODUCT (50.68)

Name Value
NAME BANDAGE,SURESEAL 1 1/4IN X 2 3/4IN
VA GENERIC NAME BANDAGE
DOSAGE FORM BANDAGE
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME BANDAGE BANDAGE
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 BANDAGE,SURESEAL 1 1/4IN X 2 3/4IN
VA PRODUCT IDENTIFIER XJ835
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4038851
EFFECTIVE DATE/TIME
  • 2019-10-25 00:00:00
    STATUS:   ACTIVE