POISE PAD,MAXIMUM ABSORBENCY EXTRA COVERAGE (19225)    VA PRODUCT (50.68)

Name Value
NAME POISE PAD,MAXIMUM ABSORBENCY EXTRA COVERAGE
VA GENERIC NAME PAD
DOSAGE FORM PAD
NATIONAL FORMULARY NAME PAD 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 POISE PAD,MAXIMUM ABSORB EXTRA COVERAGE
VA PRODUCT IDENTIFIER XV959
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4027073
EFFECTIVE DATE/TIME
  • 2008-02-05 00:00:00
    STATUS:   ACTIVE