BANDAGE,DERMACEA 4 1/2IN X 4YD STERILE KEN#441106 (30642)    VA PRODUCT (50.68)

Name Value
NAME BANDAGE,DERMACEA 4 1/2IN X 4YD STERILE KEN#441106
VA GENERIC NAME BANDAGE
DOSAGE FORM BANDAGE
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME BANDAGE BANDAGE
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 BANDAGE,DERMACEA 4.5INX4YD STERL #441106
VA PRODUCT IDENTIFIER XK337
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4039958
EFFECTIVE DATE/TIME
  • 2021-01-19 00:00:00
    STATUS:   ACTIVE
  • 2021-01-19 00:00:00
    STATUS:   ACTIVE
  • 2021-01-19 00:00:00
    STATUS:   ACTIVE