BANDAGE,PROFORE FOUR LAYER SYSTEM,S-N #66000016 (8368)    VA PRODUCT (50.68)

Name Value
NAME BANDAGE,PROFORE FOUR LAYER SYSTEM,S-N #66000016
VA GENERIC NAME BANDAGE
DOSAGE FORM BANDAGE
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2002-03-11 00:00:00
DSS NUMBER 35
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 PROFORE BANDAGE, S-N #66000016
VA PRODUCT IDENTIFIER XX199
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4008836
EFFECTIVE DATE/TIME
  • 2002-03-11 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE