BANDAGE KIT,COMPRESSION COFLEX TLC CALAMINE STANDARD (30983)    VA PRODUCT (50.68)

Name Value
NAME BANDAGE KIT,COMPRESSION COFLEX TLC CALAMINE STANDARD
VA GENERIC NAME BANDAGE,COMPRESSION
DOSAGE FORM KIT
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME BANDAGE,COMPRESSION KIT
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-04-07 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BANDAGE KIT,COMPRESS COFLEX TLC CALA STD
VA PRODUCT IDENTIFIER XK581
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040325
EFFECTIVE DATE/TIME
  • 2021-04-08 00:00:00
    STATUS:   ACTIVE
  • 2021-04-08 00:00:00
    STATUS:   ACTIVE
  • 2021-04-08 00:00:00
    STATUS:   ACTIVE