DRESSING,PURACOL PLUS AG 1IN X 8IN MEDLINE#MSC871X8EP (30930)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,PURACOL PLUS AG 1IN X 8IN MEDLINE#MSC871X8EP
VA GENERIC NAME DRESSING
DOSAGE FORM DRESSING,TOP
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME DRESSING DRESSING,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-03-25 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESS,PURAC PLUS AG 1X8IN MED#MSC871X8EP
VA PRODUCT IDENTIFIER XK553
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040274
EFFECTIVE DATE/TIME
  • 2021-03-29 00:00:00
    STATUS:   ACTIVE
  • 2021-03-29 00:00:00
    STATUS:   ACTIVE
  • 2021-03-29 00:00:00
    STATUS:   ACTIVE