DRESSING,WET SALINE 4IN X 6IN PDI #C22370 (31510)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,WET SALINE 4IN X 6IN PDI #C22370
VA GENERIC NAME DRESSING,WET
DOSAGE FORM DRESSING,TOP
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME DRESSING,WET DRESSING,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-11-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESSING,WET SALINE 4IN X 6IN PDI#C22370
VA PRODUCT IDENTIFIER XK915
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040910
EFFECTIVE DATE/TIME
  • 2021-11-01 00:00:00
    STATUS:   ACTIVE