DRESSING,THERABOND 3D 4IN X 72IN A#3DAW472 (31930)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,THERABOND 3D 4IN X 72IN A#3DAW472
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:   2022-05-03 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESS,THERABOND 3D 4IN X 72IN A#3DAW472
VA PRODUCT IDENTIFIER XL175
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4041376
EFFECTIVE DATE/TIME
  • 2022-05-03 00:00:00
    STATUS:   ACTIVE