DRESSING,MEPILEX AG 8IN X 20IN #287500 (30010)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,MEPILEX AG 8IN X 20IN #287500
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:   2020-04-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESSING,MEPILEX AG 8IN X 20IN #287500
VA PRODUCT IDENTIFIER XK026
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4039248
EFFECTIVE DATE/TIME
  • 2020-04-01 00:00:00
    STATUS:   ACTIVE