DRESSING,BIATAIN AG NON-ADHESIVE FOAM 4IN X 4IN (30434)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,BIATAIN AG NON-ADHESIVE FOAM 4IN X 4IN
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:   2020-09-30 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESS,BIATAIN AG NON-ADHESIVE FOAM 4X4IN
VA PRODUCT IDENTIFIER XK243
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4039728
EFFECTIVE DATE/TIME
  • 2020-10-01 00:00:00
    STATUS:   ACTIVE
  • 2020-10-01 00:00:00
    STATUS:   ACTIVE
  • 2020-10-01 00:00:00
    STATUS:   ACTIVE