DRESSING,BIATAIN AG ADHESIVE FOAM 5IN X 5IN (30311)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,BIATAIN AG ADHESIVE FOAM 5IN X 5IN
VA GENERIC NAME DRESSING,BIATAIN
DOSAGE FORM DRESSING,TOP
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME DRESSING,BIATAIN DRESSING,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2020-08-04 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESSING,BIATAIN AG ADHESIVE FOAM 5X5IN
VA PRODUCT IDENTIFIER XK175
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4039584
EFFECTIVE DATE/TIME
  • 2020-08-04 00:00:00
    STATUS:   ACTIVE
  • 2020-08-04 00:00:00
    STATUS:   ACTIVE