SURGICEL ABSORBABLE HEMOSTAT 4IN X 8IN (6916)    VA PRODUCT (50.68)

Name Value
NAME SURGICEL ABSORBABLE HEMOSTAT 4IN X 8IN
VA GENERIC NAME CELLULOSE,OXIDIZED
DOSAGE FORM STRIP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2021-08-16 00:00:00
DSS NUMBER 3
NATIONAL FORMULARY NAME CELLULOSE,OXIDIZED STRIP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME SURGICEL ABSORBABLE HEMOSTAT 4IN X 8IN
VA PRODUCT IDENTIFIER XS657
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4007428
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2021-08-16 00:00:00
    STATUS:   INACTIVE
  • 2021-08-16 00:00:00
    STATUS:   INACTIVE
  • 2021-08-16 00:00:00
    STATUS:   INACTIVE