DEPEND SUPER PLUS UNDERWEAR MEDIUM (19850)    VA PRODUCT (50.68)

Name Value
NAME DEPEND SUPER PLUS UNDERWEAR MEDIUM
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 DEPEND SUPER PLUS UNDERWEAR MEDIUM
VA PRODUCT IDENTIFIER XU337
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4027779
EFFECTIVE DATE/TIME
  • 2008-08-20 00:00:00
    STATUS:   ACTIVE