BANDAGE TUBULAR,HALF COATED 4IN X 10FT (31831)    VA PRODUCT (50.68)

Name Value
NAME BANDAGE TUBULAR,HALF COATED 4IN X 10FT
VA GENERIC NAME BANDAGE TUBULAR
DOSAGE FORM BANDAGE
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME BANDAGE TUBULAR BANDAGE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2022-03-23 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BANDAGE TUBE HALF COATED 4IN X 10FT
VA PRODUCT IDENTIFIER XL114
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ROLL
MASTER ENTRY FOR VUID YES
VUID 4041274
EFFECTIVE DATE/TIME
  • 2022-03-23 00:00:00
    STATUS:   ACTIVE