DEXTRANOMER BEADS,TOP,60GM,STERILE (7998)    VA PRODUCT (50.68)

Name Value
NAME DEXTRANOMER BEADS,TOP,60GM,STERILE
VA GENERIC NAME DEXTRANOMER
DOSAGE FORM BEADS,TOP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2011-04-07 00:00:00
DSS NUMBER 2
NATIONAL FORMULARY NAME DEXTRANOMER BEADS,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DEXTRANOMER BEADS TOP 60GM STERILE
VA PRODUCT IDENTIFIER D0349
TRANSMIT TO CMOP YES
VA DISPENSE UNIT PKT
MASTER ENTRY FOR VUID YES
VUID 4008474
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2011-04-07 00:00:00
    STATUS:   INACTIVE