UNDERPAD,BED ULTRASORB 23IN X 24IN #MSC282500 (20046)    VA PRODUCT (50.68)

Name Value
NAME UNDERPAD,BED ULTRASORB 23IN X 24IN #MSC282500
VA GENERIC NAME UNDERPAD
DOSAGE FORM PAD
NATIONAL FORMULARY NAME UNDERPAD 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 UNDERPAD,BED ULTRASORB 23X24IN#MSC282500
VA PRODUCT IDENTIFIER XU476
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4027997
EFFECTIVE DATE/TIME
  • 2008-11-06 00:00:00
    STATUS:   ACTIVE