DRESSING,MELGISORB CALCIUM ALGINATE AG 8IN X 12IN (31134)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,MELGISORB CALCIUM ALGINATE AG 8IN X 12IN
VA GENERIC NAME DRESSING,MELGISORB
DOSAGE FORM DRESSING,TOP
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME DRESSING,MELGISORB DRESSING,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-05-26 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESSING,MELGISORB,CA ALGINATE AG 8X12IN
VA PRODUCT IDENTIFIER XK682
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040486
EFFECTIVE DATE/TIME
  • 2021-05-26 00:00:00
    STATUS:   ACTIVE
  • 2021-05-26 00:00:00
    STATUS:   ACTIVE
  • 2021-05-26 00:00:00
    STATUS:   ACTIVE