DRESSING,HYDROFERA BLUE 2.5IN X 2.5IN HBRT2525 (31205)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,HYDROFERA BLUE 2.5IN X 2.5IN HBRT2525
VA GENERIC NAME DRESSING,HYDROFERA
DOSAGE FORM DRESSING,TOP
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME DRESSING,HYDROFERA DRESSING,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-06-15 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESS,HYDROFERA BLUE 2.5X2.5IN HBRT2525
VA PRODUCT IDENTIFIER XK718
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040569
EFFECTIVE DATE/TIME
  • 2021-06-15 00:00:00
    STATUS:   ACTIVE
  • 2021-06-15 00:00:00
    STATUS:   ACTIVE
  • 2021-06-15 00:00:00
    STATUS:   ACTIVE