DRESSING,DRYMAX EXTRA 8IN X 8IN (31121)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,DRYMAX EXTRA 8IN X 8IN
VA GENERIC NAME DRESSING
DOSAGE FORM DRESSING,TOP
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME DRESSING DRESSING,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-05-14 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESSING,DRYMAX EXTRA 8IN X 8IN
VA PRODUCT IDENTIFIER XK676
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040477
EFFECTIVE DATE/TIME
  • 2021-05-17 00:00:00
    STATUS:   ACTIVE
  • 2021-05-17 00:00:00
    STATUS:   ACTIVE
  • 2021-05-17 00:00:00
    STATUS:   ACTIVE