DRESSING,MEPILEX TRANSFER AG 6IN X 8IN (30220)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,MEPILEX TRANSFER AG 6IN X 8IN
VA GENERIC NAME DRESSING,MEPILEX TRANSFER
DOSAGE FORM DRESSING,TOP
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME DRESSING,MEPILEX TRANSFER DRESSING,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2020-06-24 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESSING,MEPILEX TRANSFER AG 6IN X 8IN
VA PRODUCT IDENTIFIER XK131
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4039481
EFFECTIVE DATE/TIME
  • 2020-06-25 00:00:00
    STATUS:   ACTIVE