INCONT BRIEF SIR DIGNITY XXL (17275)    VA PRODUCT (50.68)

Name Value
NAME INCONT BRIEF SIR DIGNITY XXL
VA GENERIC NAME UNDERPANTS
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME UNDERPANTS 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 INCONT BRIEF SIR DIGNITY XXL
VA PRODUCT IDENTIFIER XV011
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4024707
EFFECTIVE DATE/TIME
  • 2006-01-24 00:00:00
    STATUS:   ACTIVE