DRESSING,COLLAGEN,TRIPLE HELIX,2IN X 2IN PAD (31477)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,COLLAGEN,TRIPLE HELIX,2IN X 2IN PAD
VA GENERIC NAME DRESSING
DOSAGE FORM DRESSING,TOP
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME DRESSING DRESSING,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-10-14 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESSING,COLLAGEN TRIPLE HELIX 2X2IN PAD
VA PRODUCT IDENTIFIER XK887
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040872
EFFECTIVE DATE/TIME
  • 2021-10-18 00:00:00
    STATUS:   ACTIVE
  • 2021-10-18 00:00:00
    STATUS:   ACTIVE
  • 2021-10-18 00:00:00
    STATUS:   ACTIVE
  • 2021-10-18 00:00:00
    STATUS:   ACTIVE