DEPEND UNDERWEAR,WOMEN LARGE (20575)    VA PRODUCT (50.68)

Name Value
NAME DEPEND UNDERWEAR,WOMEN 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 LARGE
VA PRODUCT IDENTIFIER XU827
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4028593
EFFECTIVE DATE/TIME
  • 2009-05-11 00:00:00
    STATUS:   ACTIVE