BANDAGE,ELASTIC (TETRA-FLEX LF) 6IN X 11YD (30591)    VA PRODUCT (50.68)

Name Value
NAME BANDAGE,ELASTIC (TETRA-FLEX LF) 6IN X 11YD
VA GENERIC NAME BANDAGE,STRETCH
DOSAGE FORM BANDAGE
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME BANDAGE,STRETCH BANDAGE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2020-12-09 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BANDAGE,ELASTIC (TETRA-FLEX LF) 6INX11YD
VA PRODUCT IDENTIFIER XK311
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4039897
EFFECTIVE DATE/TIME
  • 2020-12-10 00:00:00
    STATUS:   ACTIVE
  • 2020-12-10 00:00:00
    STATUS:   ACTIVE
  • 2020-12-10 00:00:00
    STATUS:   ACTIVE