UNDERPAD,BED 23IN X 36IN ALLEGIANCE #50460-236/X (18765)    VA PRODUCT (50.68)

Name Value
NAME UNDERPAD,BED 23IN X 36IN ALLEGIANCE #50460-236/X
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 23X36IN ALLEG #50460-236/X
VA PRODUCT IDENTIFIER XV544
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4026582
EFFECTIVE DATE/TIME
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE