BANDAGE TUBULAR ELASTIC 3.5IN X 11YD GLE10 (30622)    VA PRODUCT (50.68)

Name Value
NAME BANDAGE TUBULAR ELASTIC 3.5IN X 11YD GLE10
VA GENERIC NAME BANDAGE TUBULAR
DOSAGE FORM BANDAGE
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME BANDAGE TUBULAR BANDAGE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-01-05 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BANDAGE TUBULAR ELAST 3.5IN X 11YD GLE10
VA PRODUCT IDENTIFIER XK325
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ROLL
MASTER ENTRY FOR VUID YES
VUID 4039937
EFFECTIVE DATE/TIME
  • 2021-01-05 00:00:00
    STATUS:   ACTIVE
  • 2021-01-05 00:00:00
    STATUS:   ACTIVE
  • 2021-01-05 00:00:00
    STATUS:   ACTIVE