DRESSING,ALGINATE/CMC 6IN X 6IN (29709)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,ALGINATE/CMC 6IN X 6IN
VA GENERIC NAME DRESSING,ALGINATE
DOSAGE FORM DRESSING,TOP
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME DRESSING,ALGINATE DRESSING,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2019-11-06 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESSING,ALGINATE/CMC 6IN X 6IN
VA PRODUCT IDENTIFIER XJ875
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4038900
EFFECTIVE DATE/TIME
  • 2019-11-07 00:00:00
    STATUS:   ACTIVE