UNDERPAD,BED 30IN X 36IN REASSURE PREMIUM (17074)    VA PRODUCT (50.68)

Name Value
NAME UNDERPAD,BED 30IN X 36IN REASSURE PREMIUM
VA GENERIC NAME UNDERPAD
DOSAGE FORM PAD
NATIONAL FORMULARY NAME UNDERPAD PAD
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 UNDERPAD,BED 30X36IN REASSURE PREMIUM
VA PRODUCT IDENTIFIER XZ952
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4024506
EFFECTIVE DATE/TIME
  • 2006-01-24 00:00:00
    STATUS:   ACTIVE