
| Name | Value |
|---|---|
| NAME | UNDERPAD,BED,WASHABLE 30IN X 34IN PRIVA #P7204 |
| VA GENERIC NAME | UNDERPAD |
| DOSAGE FORM | PAD |
| NATIONAL FORMULARY NAME | UNDERPAD PAD |
| CREATE DEFAULT POSSIBLE DOSAGE | YES |
| CODING SYSTEM |
|
| COPAY TIER |
|
| PGX ELIGIBLE | NO |
| PGX SUPPRESSED | NO |
| VA PRINT NAME | UNDERPAD,BED,WASH 30X34IN PRIVA#P7204 |
| VA PRODUCT IDENTIFIER | XZ960 |
| TRANSMIT TO CMOP | YES |
| VA DISPENSE UNIT | EA |
| MASTER ENTRY FOR VUID | YES |
| VUID | 4024514 |
| EFFECTIVE DATE/TIME |
|