DEPEND MAXIMUM PROTECTION LARGE (20338)    VA PRODUCT (50.68)

Name Value
NAME DEPEND MAXIMUM PROTECTION LARGE
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 MAXIMUM PROTECTION LARGE
VA PRODUCT IDENTIFIER XU673
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4028322
EFFECTIVE DATE/TIME
  • 2009-02-06 00:00:00
    STATUS:   ACTIVE