PAD,PERI VERSALON KENDALL #1380 (15230)    VA PRODUCT (50.68)

Name Value
NAME PAD,PERI VERSALON KENDALL #1380
VA GENERIC NAME PAD,PERI
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME PAD,PERI MISCELLANEOUS
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 PAD,PERI VERSALON KENDALL #1380
VA PRODUCT IDENTIFIER XZ232
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4015594
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE