DRESSING,EXUFIBER AG PLUS,4IN X 4.8IN #603422 (31324)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,EXUFIBER AG PLUS,4IN X 4.8IN #603422
VA GENERIC NAME DRESSING,EXUFIBER
DOSAGE FORM DRESSING,TOP
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME DRESSING,EXUFIBER DRESSING,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-07-26 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESS,EXUFIBER AG PLUS 4INX4.8IN #603422
VA PRODUCT IDENTIFIER XK801
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040701
EFFECTIVE DATE/TIME
  • 2021-07-26 00:00:00
    STATUS:   ACTIVE
  • 2021-07-26 00:00:00
    STATUS:   ACTIVE