DRESSING,MEPILEX BORDER AG 7.2IN X 7.2IN #382090 (29694)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,MEPILEX BORDER AG 7.2IN X 7.2IN #382090
VA GENERIC NAME DRESSING,MEPILEX
DOSAGE FORM DRESSING,TOP
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME DRESSING,MEPILEX DRESSING,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2019-10-30 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESS,MEPILEX BRDR AG 7.2X7.2IN #382090
VA PRODUCT IDENTIFIER XJ860
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4038879
EFFECTIVE DATE/TIME
  • 2019-10-30 00:00:00
    STATUS:   ACTIVE