DRESSING,COLACTIVE PLUS AG 2IN X 2IN #10330000 (30748)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,COLACTIVE PLUS AG 2IN X 2IN #10330000
VA GENERIC NAME DRESSING,COLACTIVE
DOSAGE FORM DRESSING,TOP
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME DRESSING,COLACTIVE DRESSING,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-02-22 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESS,COLACTIVE PLUS AG 2X2IN #10330000
VA PRODUCT IDENTIFIER XK398
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040079
EFFECTIVE DATE/TIME
  • 2021-02-23 00:00:00
    STATUS:   ACTIVE
  • 2021-02-23 00:00:00
    STATUS:   ACTIVE
  • 2021-02-23 00:00:00
    STATUS:   ACTIVE