DRESSING,CUTIMED SORBION SORBACT 4IN X 8IN #7269809 (30765)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,CUTIMED SORBION SORBACT 4IN X 8IN #7269809
VA GENERIC NAME DRESSING
DOSAGE FORM DRESSING,TOP
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME DRESSING DRESSING,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-02-24 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESS,CUTIMED SORBION 4INX8IN #7269809
VA PRODUCT IDENTIFIER XK413
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040095
EFFECTIVE DATE/TIME
  • 2021-02-24 00:00:00
    STATUS:   ACTIVE
  • 2021-02-24 00:00:00
    STATUS:   ACTIVE
  • 2021-02-24 00:00:00
    STATUS:   ACTIVE