BANDAGE,ELASTIC 1.5IN X 5YD (COBAN) (8367)    VA PRODUCT (50.68)

Name Value
NAME BANDAGE,ELASTIC 1.5IN X 5YD (COBAN)
VA GENERIC NAME BANDAGE
DOSAGE FORM BANDAGE
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2012-03-07 00:00:00
DSS NUMBER 34
NATIONAL FORMULARY NAME BANDAGE BANDAGE
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 BANDAGE,ELASTIC 1.5IN X 5YD COBAN
VA PRODUCT IDENTIFIER XB046
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ROLL
MASTER ENTRY FOR VUID YES
VUID 4008835
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2012-03-07 00:00:00
    STATUS:   INACTIVE
  • 2012-03-07 00:00:00
    STATUS:   INACTIVE
  • 2012-03-07 00:00:00
    STATUS:   INACTIVE
  • 2012-03-07 00:00:00
    STATUS:   INACTIVE
  • 2012-03-07 00:00:00
    STATUS:   INACTIVE
  • 2012-03-07 00:00:00
    STATUS:   INACTIVE
  • 2012-03-07 00:00:00
    STATUS:   INACTIVE
  • 2012-03-07 00:00:00
    STATUS:   INACTIVE