INCONT LINER POISE ULTRA THIN (25795)    VA PRODUCT (50.68)

Name Value
NAME INCONT LINER POISE ULTRA THIN
VA GENERIC NAME PAD
DOSAGE FORM PAD
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 INCONT LINER POISE ULTRA THIN
VA PRODUCT IDENTIFIER XI081
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4034548
EFFECTIVE DATE/TIME
  • 2015-06-26 00:00:00
    STATUS:   ACTIVE