DRESSING,CUTIMED SORBACT HYDROACTIVE B 5.5IN X 9.4IN #7993304 (30555)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,CUTIMED SORBACT HYDROACTIVE B 5.5IN X 9.4IN #7993304
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:   2020-11-24 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESS,CUTIMED HYDROACTIVE B #7993304
VA PRODUCT IDENTIFIER XK289
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4039858
EFFECTIVE DATE/TIME
  • 2020-11-25 00:00:00
    STATUS:   ACTIVE
  • 2020-11-25 00:00:00
    STATUS:   ACTIVE
  • 2020-11-25 00:00:00
    STATUS:   ACTIVE