DRESSING,CONVAMAX SUPERABSORBER 5.9IN X 7.9IN (31303)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,CONVAMAX SUPERABSORBER 5.9IN X 7.9IN
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:   2021-07-20 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESSING,CONVAMAX SUPERABSORB 5.9X7.9IN
VA PRODUCT IDENTIFIER XK784
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040675
EFFECTIVE DATE/TIME
  • 2021-07-21 00:00:00
    STATUS:   ACTIVE
  • 2021-07-21 00:00:00
    STATUS:   ACTIVE