DRESSING,OPTIFOAM GENTLE EX 5IN X 5IN #MSCEX55EP (30816)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,OPTIFOAM GENTLE EX 5IN X 5IN #MSCEX55EP
VA GENERIC NAME DRESSING,OPTIFOAM
DOSAGE FORM DRESSING,TOP
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME DRESSING,OPTIFOAM DRESSING,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-03-08 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESS,OPTIFOAM EX 5IN X 5IN #MSCEX55EP
VA PRODUCT IDENTIFIER XK457
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040150
EFFECTIVE DATE/TIME
  • 2021-03-08 00:00:00
    STATUS:   ACTIVE
  • 2021-03-08 00:00:00
    STATUS:   ACTIVE
  • 2021-03-08 00:00:00
    STATUS:   ACTIVE