COLLAGEN HEMOSTAT,ABSORBABLE 8CM X 10CM PAD (8721)    VA PRODUCT (50.68)

Name Value
NAME COLLAGEN HEMOSTAT,ABSORBABLE 8CM X 10CM PAD
VA GENERIC NAME COLLAGEN HEMOSTAT
DOSAGE FORM PAD
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2007-09-19 00:00:00
DSS NUMBER 3
NATIONAL FORMULARY NAME COLLAGEN HEMOSTAT PAD
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
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4009178
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-19 00:00:00
    STATUS:   INACTIVE