DRESSING,XTRASORB FOAM ADHESIVE 3.2IN X 3.2IN #86233 (30809)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,XTRASORB FOAM ADHESIVE 3.2IN X 3.2IN #86233
VA GENERIC NAME DRESSING,XTRASORB
DOSAGE FORM DRESSING,TOP
HAZARDOUS TO DISPOSE NO
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME DRESSING,XTRASORB DRESSING,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-03-05 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESS,XTRASORB FOAM 3.2IN X 3.2IN #86233
VA PRODUCT IDENTIFIER XK448
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040141
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