BANDAGE,ELASTIC,2-LAYER 2IN (COBAN) (30804)    VA PRODUCT (50.68)

Name Value
NAME BANDAGE,ELASTIC,2-LAYER 2IN (COBAN)
VA GENERIC NAME BANDAGE
DOSAGE FORM BANDAGE
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME BANDAGE BANDAGE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-03-04 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BANDAGE,ELASTIC,2-LAYER 2IN (COBAN)
VA PRODUCT IDENTIFIER XK447
TRANSMIT TO CMOP NO
VA DISPENSE UNIT PKG
MASTER ENTRY FOR VUID YES
VUID 4040138
EFFECTIVE DATE/TIME
  • 2021-03-05 00:00:00
    STATUS:   ACTIVE
  • 2021-03-05 00:00:00
    STATUS:   ACTIVE
  • 2021-03-05 00:00:00
    STATUS:   ACTIVE