BANDAGE,STRETCH,COVER ROLL 12IN X 10YD (32347)    VA PRODUCT (50.68)

Name Value
NAME BANDAGE,STRETCH,COVER ROLL 12IN X 10YD
VA GENERIC NAME BANDAGE,STRETCH
DOSAGE FORM BANDAGE
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME BANDAGE,STRETCH BANDAGE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2022-11-21 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BANDAGE,STRETCH,COVER ROLL 12IN X 10YD
VA PRODUCT IDENTIFIER XL380
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ROLL
MASTER ENTRY FOR VUID YES
VUID 4041839
EFFECTIVE DATE/TIME
  • 2022-11-21 00:00:00
    STATUS:   ACTIVE