DRESSING,OPSITE POST-OP 4IN X 3 1/8IN SN#66800136 (31305)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,OPSITE POST-OP 4IN X 3 1/8IN SN#66800136
VA GENERIC NAME DRESSING,OPSITE
DOSAGE FORM DRESSING,TOP
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME DRESSING,OPSITE 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 DRESS,OPSITE POST-OP 4X3 1/8IN #66800136
VA PRODUCT IDENTIFIER XK785
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040676
EFFECTIVE DATE/TIME
  • 2021-07-21 00:00:00
    STATUS:   ACTIVE
  • 2021-07-21 00:00:00
    STATUS:   ACTIVE