DRESSING,INTERDRY AG TEXTILE 10IN X 18IN (30024)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,INTERDRY AG TEXTILE 10IN X 18IN
VA GENERIC NAME INTERDRY AG
DOSAGE FORM DRESSING,TOP
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME INTERDRY AG 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,INTERDRY AG TEXTILE 10IN X 18IN
VA PRODUCT IDENTIFIER XK040
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4039262
EFFECTIVE DATE/TIME
  • 2020-04-01 00:00:00
    STATUS:   ACTIVE