| NAME |
UNDERPAD,BED ULTRASORB 23IN X 24IN #MSC82100 |
| VA GENERIC NAME |
UNDERPAD |
| DOSAGE FORM |
PAD |
| CS FEDERAL SCHEDULE |
Unscheduled |
| INACTIVATION DATE |
2010-03-11 00:00:00 |
| NATIONAL FORMULARY NAME |
UNDERPAD PAD |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| 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 ULTRASORB 23X24IN #MSC82100 |
| VA PRODUCT IDENTIFIER |
XU474 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4027995 |
| EFFECTIVE DATE/TIME |
-
- 2008-11-06 00:00:00
- STATUS: ACTIVE
-
- 2010-03-11 00:00:00
- STATUS: INACTIVE
|
