DRESSING,AQUACEL AG ADVANTAGE 0.75IN X 18IN C#422300 (30525)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,AQUACEL AG ADVANTAGE 0.75IN X 18IN C#422300
VA GENERIC NAME DRESSING,AQUACEL
DOSAGE FORM DRESSING
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME DRESSING,AQUACEL DRESSING
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2020-11-10 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESS,AQUACEL AG ADV 0.75X18IN C#422300
VA PRODUCT IDENTIFIER XK274
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4039825
EFFECTIVE DATE/TIME
  • 2020-11-10 00:00:00
    STATUS:   ACTIVE
  • 2020-11-10 00:00:00
    STATUS:   ACTIVE
  • 2020-11-10 00:00:00
    STATUS:   ACTIVE