DRESSING,TEGADERM CHG 4IN X 4.75IN #1658 (31019)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,TEGADERM CHG 4IN X 4.75IN #1658
VA GENERIC NAME DRESSING,TEGADERM CHG
DOSAGE FORM DRESSING,TOP
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME DRESSING,TEGADERM CHG DRESSING,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-04-15 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESSING,TEGADERM CHG 4IN X 4.75IN #1658
VA PRODUCT IDENTIFIER XK601
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040363
EFFECTIVE DATE/TIME
  • 2021-04-15 00:00:00
    STATUS:   ACTIVE
  • 2021-04-15 00:00:00
    STATUS:   ACTIVE
  • 2021-04-15 00:00:00
    STATUS:   ACTIVE