DRESSING,ALGINATE/CMC AG 6IN X 6IN (30772)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,ALGINATE/CMC AG 6IN X 6IN
VA GENERIC NAME DRESSING,ALGINATE W/SILVER
DOSAGE FORM DRESSING,TOP
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME DRESSING,ALGINATE W/SILVER DRESSING,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-02-25 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESSING,ALGINATE/CMC AG 6IN X 6IN
VA PRODUCT IDENTIFIER XK420
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040103
EFFECTIVE DATE/TIME
  • 2021-02-26 00:00:00
    STATUS:   ACTIVE
  • 2021-02-26 00:00:00
    STATUS:   ACTIVE
  • 2021-02-26 00:00:00
    STATUS:   ACTIVE