UNDERPAD,BED ULTRASORB 23IN X 36IN #MSC282100 (21550)    VA PRODUCT (50.68)

Name Value
NAME UNDERPAD,BED ULTRASORB 23IN X 36IN #MSC282100
VA GENERIC NAME UNDERPAD
DOSAGE FORM PAD
NATIONAL FORMULARY NAME UNDERPAD 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 UNDERPAD,BED ULTRASORB 23X36IN MSC282100
VA PRODUCT IDENTIFIER XT510
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4029712
EFFECTIVE DATE/TIME
  • 2010-04-12 00:00:00
    STATUS:   ACTIVE