GELATIN,ABSORBABLE SPONGE,2CM (8138)    VA PRODUCT (50.68)

Name Value
NAME GELATIN,ABSORBABLE SPONGE,2CM
VA GENERIC NAME GELATIN,ABSORBABLE
DOSAGE FORM SPONGE
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2007-09-20 00:00:00
DSS NUMBER 8
NATIONAL FORMULARY NAME GELATIN,ABSORBABLE SPONGE
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
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4008612
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-20 00:00:00
    STATUS:   INACTIVE