DRESSING,POLYDERM PLUS 6IN X 6IN DEROYAL #46-926 (30640)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,POLYDERM PLUS 6IN X 6IN DEROYAL #46-926
VA GENERIC NAME DRESSING,POLYDERM
DOSAGE FORM DRESSING,TOP
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME DRESSING,POLYDERM DRESSING,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-01-19 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESSING,POLYDERM 6INX6IN DROYL #46-926
VA PRODUCT IDENTIFIER XK343
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4039967
EFFECTIVE DATE/TIME
  • 2021-01-21 00:00:00
    STATUS:   ACTIVE
  • 2021-01-21 00:00:00
    STATUS:   ACTIVE
  • 2021-01-21 00:00:00
    STATUS:   ACTIVE