BANDAGE TUBULAR ELASTIC 2.75IN X 11YD GLC10 (31213)    VA PRODUCT (50.68)

Name Value
NAME BANDAGE TUBULAR ELASTIC 2.75IN X 11YD GLC10
VA GENERIC NAME BANDAGE TUBULAR
DOSAGE FORM BANDAGE
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME BANDAGE TUBULAR BANDAGE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-06-17 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BANDAGE TUBE ELAST 2.75IN X 11YD GLC10
VA PRODUCT IDENTIFIER XK720
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ROLL
MASTER ENTRY FOR VUID YES
VUID 4040574
EFFECTIVE DATE/TIME
  • 2021-06-17 00:00:00
    STATUS:   ACTIVE
  • 2021-06-17 00:00:00
    STATUS:   ACTIVE
  • 2021-06-17 00:00:00
    STATUS:   ACTIVE