| NAME |
DRESSING,AQUACEL AG ADVANTAGE SURGICAL 3.5IN X 12IN C#422606 |
| VA GENERIC NAME |
DRESSING,AQUACEL |
| DOSAGE FORM |
DRESSING |
| HAZARDOUS TO DISPOSE |
NO |
| PRIMARY EPA CODE |
D011-SILVER |
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY NAME |
DRESSING,AQUACEL DRESSING |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2022-05-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
DRESS,AQUACEL AG ADV SUR3.5X12IN #422606 |
| VA PRODUCT IDENTIFIER |
XL202 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4041444 |
| EFFECTIVE DATE/TIME |
-
- 2022-05-31 00:00:00
- STATUS: ACTIVE
|
