
| Name | Value |
|---|---|
| NAME | CLEANSING CLOTH,ADULT |
| VA GENERIC NAME | CLEANSING CLOTH |
| DOSAGE FORM | MISCELLANEOUS |
| NATIONAL FORMULARY NAME | CLEANSING CLOTH MISCELLANEOUS |
| CREATE DEFAULT POSSIBLE DOSAGE | YES |
| CODING SYSTEM |
|
| COPAY TIER |
|
| PGX ELIGIBLE | NO |
| PGX SUPPRESSED | NO |
| VA PRINT NAME | CLEANSING CLOTH,ADULT |
| VA PRODUCT IDENTIFIER | XV298 |
| TRANSMIT TO CMOP | NO |
| VA DISPENSE UNIT | PKT |
| MASTER ENTRY FOR VUID | YES |
| VUID | 4026149 |
| EFFECTIVE DATE/TIME |
|