COLLAGEN HEMOSTAT,ABSORBABLE 1GM POWDER,TOP (8722)    VA PRODUCT (50.68)

Name Value
NAME COLLAGEN HEMOSTAT,ABSORBABLE 1GM POWDER,TOP
VA GENERIC NAME COLLAGEN HEMOSTAT
DOSAGE FORM POWDER,TOP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 1
UNITS GM
DSS NUMBER 4
NATIONAL FORMULARY NAME COLLAGEN HEMOSTAT POWDER,TOP
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
VA PRINT NAME COLLAGEN HEMOSTAT,ABSORBABLE 1GM TOP PWD
VA PRODUCT IDENTIFIER C2017
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4009179
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-19 00:00:00
    STATUS:   INACTIVE
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE