DIAPER ADULT XX-LARGE (19623)    VA PRODUCT (50.68)

Name Value
NAME DIAPER ADULT XX-LARGE
VA GENERIC NAME DIAPER
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME DIAPER 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 DIAPER ADULT XX-LARGE
VA PRODUCT IDENTIFIER XU165
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4027530
EFFECTIVE DATE/TIME
  • 2008-06-11 00:00:00
    STATUS:   ACTIVE