DRESSING,SILVERLON,NEGATIVE PRESSURE 5IN X 8IN (32393)    VA PRODUCT (50.68)

Name Value
NAME DRESSING,SILVERLON,NEGATIVE PRESSURE 5IN X 8IN
VA GENERIC NAME DRESSING,SILVERLON
DOSAGE FORM DRESSING,TOP
HAZARDOUS TO DISPOSE NO
PRIMARY EPA CODE D011
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME DRESSING,SILVERLON DRESSING,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2022-12-19 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DRESS,SILVERLON,NEG PRESSURE 5IN X 8IN
VA PRODUCT IDENTIFIER XL405
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4041898
EFFECTIVE DATE/TIME
  • 2022-12-21 00:00:00
    STATUS:   ACTIVE