DRESSING,POLYMEM 3IN X 3IN,FERRIS #5733 (30540)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,POLYMEM 3IN X 3IN,FERRIS #5733
VA GENERIC NAME DRESSING
DOSAGE FORM DRESSING,TOP
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME DRESSING DRESSING,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2020-11-17 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESSING,POLYMEM 3IN X 3IN,FERRIS #5733
VA PRODUCT IDENTIFIER XK279
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4039841
EFFECTIVE DATE/TIME
  • 2020-11-19 00:00:00
    STATUS:   ACTIVE
  • 2020-11-19 00:00:00
    STATUS:   ACTIVE
  • 2020-11-19 00:00:00
    STATUS:   ACTIVE