DRESSING,EXUFIBER 6IN X 6IN #709903 (30936)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,EXUFIBER 6IN X 6IN #709903
VA GENERIC NAME DRESSING,EXUFIBER
DOSAGE FORM DRESSING,TOP
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME DRESSING,EXUFIBER DRESSING,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-03-26 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESSING,EXUFIBER 6IN X 6IN #709903
VA PRODUCT IDENTIFIER XK555
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040276
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