DRESSING,MAXORB II SILVER ALGINATE 8 X 12IN #MSC99812 (32267)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,MAXORB II SILVER ALGINATE 8 X 12IN #MSC99812
VA GENERIC NAME DRESSING,MAXORB
DOSAGE FORM DRESSING,TOP
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME DRESSING,MAXORB DRESSING,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2022-10-07 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESSING,MAXORB II AG 8 X 12IN #MSC99812
VA PRODUCT IDENTIFIER XL341
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4041744
EFFECTIVE DATE/TIME
  • 2022-10-11 00:00:00
    STATUS:   ACTIVE