DIAPER INFANT HUGGIES SZ3 (21712)    VA PRODUCT (50.68)

Name Value
NAME DIAPER INFANT HUGGIES SZ3
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 DIAPER INFANT HUGGIES SZ3
VA PRODUCT IDENTIFIER XT591
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4029893
EFFECTIVE DATE/TIME
  • 2010-07-12 00:00:00
    STATUS:   ACTIVE