DRESSING,POLYMEM 4IN X 5.7IN FERRIS #2468 (31288)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,POLYMEM 4IN X 5.7IN FERRIS #2468
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:   2021-07-14 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESSING,POLYMEM 4IN X 5.7IN FERRIS#2468
VA PRODUCT IDENTIFIER XK780
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040655
EFFECTIVE DATE/TIME
  • 2021-07-15 00:00:00
    STATUS:   ACTIVE
  • 2021-07-15 00:00:00
    STATUS:   ACTIVE
  • 2021-07-15 00:00:00
    STATUS:   ACTIVE