POISE PAD,ULTRA THIN PAD W/WINGS (23029)    VA PRODUCT (50.68)

Name Value
NAME POISE PAD,ULTRA THIN PAD W/WINGS
VA GENERIC NAME PAD
DOSAGE FORM PAD
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2014-06-04 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,ULTRA THIN PAD W/WINGS
VA PRODUCT IDENTIFIER XR292
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4031418
EFFECTIVE DATE/TIME
  • 2012-05-07 00:00:00
    STATUS:   ACTIVE