LEUKOPLAST,KNUCKLE 1.5IN X 3IN #7645607 (32258)    VA PRODUCT (50.68)

Name Value
NAME LEUKOPLAST,KNUCKLE 1.5IN X 3IN #7645607
VA GENERIC NAME BANDAGE
DOSAGE FORM BANDAGE
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME BANDAGE BANDAGE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2022-10-03 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME LEUKOPLAST,KNUCKLE 1.5IN X 3IN #7645607
VA PRODUCT IDENTIFIER XL335
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4041732
EFFECTIVE DATE/TIME
  • 2022-10-03 00:00:00
    STATUS:   ACTIVE