BRIEF,PREVAIL MEDIUM #IBF012 (20032)    VA PRODUCT (50.68)

Name Value
NAME BRIEF,PREVAIL MEDIUM #IBF012
VA GENERIC NAME UNDERPANTS
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME UNDERPANTS 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 BRIEF,PREVAIL MEDIUM #IBF012
VA PRODUCT IDENTIFIER XU467
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4027983
EFFECTIVE DATE/TIME
  • 2008-11-06 00:00:00
    STATUS:   ACTIVE