POISE PAD,ULTIMATE ABSORB EXTRA COVERGE (21517)    VA PRODUCT (50.68)

Name Value
NAME POISE PAD,ULTIMATE ABSORB EXTRA COVERGE
VA GENERIC NAME PAD
DOSAGE FORM PAD
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2015-01-15 00:00:00
NATIONAL FORMULARY NAME PAD 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 POISE PAD,ULTIMATE ABSORB EXTRA COVERGE
VA PRODUCT IDENTIFIER XT458
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4029671
EFFECTIVE DATE/TIME
  • 2010-03-09 00:00:00
    STATUS:   ACTIVE