DRESSING,ADAPTIC NON-ADHERING 8IN X 12.25IN (30784)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,ADAPTIC NON-ADHERING 8IN X 12.25IN
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:   2021-02-26 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESS,ADAPTIC NON-ADHERING 8IN X 12.25IN
VA PRODUCT IDENTIFIER XK427
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040117
EFFECTIVE DATE/TIME
  • 2021-03-01 00:00:00
    STATUS:   ACTIVE
  • 2021-03-01 00:00:00
    STATUS:   ACTIVE
  • 2021-03-01 00:00:00
    STATUS:   ACTIVE