DEPEND UNDERWEAR,WOMEN X-LARGE (20558)    VA PRODUCT (50.68)

Name Value
NAME DEPEND UNDERWEAR,WOMEN X-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 UNDERWEAR,WOMEN X-LG
VA PRODUCT IDENTIFIER XU813
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4028566
EFFECTIVE DATE/TIME
  • 2009-04-08 00:00:00
    STATUS:   ACTIVE