BRIEF,FITTED LARGE TRANQUILITY (20184)    VA PRODUCT (50.68)

Name Value
NAME BRIEF,FITTED LARGE TRANQUILITY
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,FITTED LARGE TRANQUILITY
VA PRODUCT IDENTIFIER XU568
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4028147
EFFECTIVE DATE/TIME
  • 2009-01-09 00:00:00
    STATUS:   ACTIVE