PAD,PERI MAXITHIN (17149)    VA PRODUCT (50.68)

Name Value
NAME PAD,PERI MAXITHIN
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 MAXITHIN
VA PRODUCT IDENTIFIER XZ982
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4024581
EFFECTIVE DATE/TIME
  • 2006-01-24 00:00:00
    STATUS:   ACTIVE