BRIEF,DERMADRY SMALL ATTENDS (25484)    VA PRODUCT (50.68)

Name Value
NAME BRIEF,DERMADRY SMALL ATTENDS
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 BRIEF,DERMADRY SMALL ATTENDS
VA PRODUCT IDENTIFIER XH938
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4034208
EFFECTIVE DATE/TIME
  • 2015-02-20 00:00:00
    STATUS:   ACTIVE