DRESSING,MEPILEX BORDER FLEX 6IN X 6IN #295400 (30750)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,MEPILEX BORDER FLEX 6IN X 6IN #295400
VA GENERIC NAME DRESSING,MEPILEX
DOSAGE FORM DRESSING,TOP
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME DRESSING,MEPILEX DRESSING,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-02-23 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESS,MEPILEX BORDER FLEX 6X6IN #295400
VA PRODUCT IDENTIFIER XK396
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040077
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