DRESSING,ALGISITE M CALCIUM ALGINATE 6IN X 8IN #59480300 (30920)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,ALGISITE M CALCIUM ALGINATE 6IN X 8IN #59480300
VA GENERIC NAME DRESSING,CALCIUM ALGINATE
DOSAGE FORM DRESSING,TOP
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME DRESSING,CALCIUM ALGINATE DRESSING,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-03-23 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESSING,ALGISITE M 6IN X 8IN #59480300
VA PRODUCT IDENTIFIER XK542
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040261
EFFECTIVE DATE/TIME
  • 2021-03-24 00:00:00
    STATUS:   ACTIVE
  • 2021-03-24 00:00:00
    STATUS:   ACTIVE
  • 2021-03-24 00:00:00
    STATUS:   ACTIVE