BANDAGE TUBULAR ELASTIC 3IN X 11YD SAG13113 (30646)    VA PRODUCT (50.68)

Name Value
NAME BANDAGE TUBULAR ELASTIC 3IN X 11YD SAG13113
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:   2021-01-20 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BANDAGE TUBULAR ELAST 3IN X11YD SAG13113
VA PRODUCT IDENTIFIER XK339
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ROLL
MASTER ENTRY FOR VUID YES
VUID 4039960
EFFECTIVE DATE/TIME
  • 2021-01-20 00:00:00
    STATUS:   ACTIVE
  • 2021-01-20 00:00:00
    STATUS:   ACTIVE
  • 2021-01-20 00:00:00
    STATUS:   ACTIVE