GELATIN,ABSORBABLE SPONGE,SZ 12,7MM (8141)    VA PRODUCT (50.68)

Name Value
NAME GELATIN,ABSORBABLE SPONGE,SZ 12,7MM
VA GENERIC NAME GELATIN,ABSORBABLE
DOSAGE FORM SPONGE
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2021-08-16 00:00:00
DSS NUMBER 11
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
VA PRINT NAME GELATIN,ABSORBABLE SPONGE,SZ 12,7MM
VA PRODUCT IDENTIFIER G0296
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4008615
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