DRESSING,OPTICELL 6IN X 6IN MEDLINE #MSC7866EP (31131)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,OPTICELL 6IN X 6IN MEDLINE #MSC7866EP
VA GENERIC NAME DRESSING,OPTICELL
DOSAGE FORM DRESSING,TOP
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME DRESSING,OPTICELL DRESSING,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-05-20 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESSING,OPTICELL 6INX6IN MED#MSC7866EP
VA PRODUCT IDENTIFIER XK680
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040484
EFFECTIVE DATE/TIME
  • 2021-05-21 00:00:00
    STATUS:   ACTIVE
  • 2021-05-21 00:00:00
    STATUS:   ACTIVE
  • 2021-05-21 00:00:00
    STATUS:   ACTIVE