| NAME |
DRESSING,MEPILEX BORDER FLEX LITE 4IN X 4IN #581300 |
| VA GENERIC NAME |
DRESSING,MEPILEX |
| DOSAGE FORM |
DRESSING,TOP |
| HAZARDOUS TO DISPOSE |
NO |
| NATIONAL FORMULARY NAME |
DRESSING,MEPILEX DRESSING,TOP |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2022-01-03 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
DRESSING,MEPILEX BORDER FLEX LITE 4X4IN |
| VA PRODUCT IDENTIFIER |
XL020 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4041074 |
| EFFECTIVE DATE/TIME |
-
- 2022-01-04 00:00:00
- STATUS: ACTIVE
|
