BRIEF,COMFORTCARE X-LARGE #2977-100 (26175)    VA PRODUCT (50.68)

Name Value
NAME BRIEF,COMFORTCARE X-LARGE #2977-100
VA GENERIC NAME UNDERPANTS
DOSAGE FORM MISCELLANEOUS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2021-10-18 00:00:00
NATIONAL FORMULARY NAME UNDERPANTS 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,COMFORTCARE X-LARGE #2977-100
VA PRODUCT IDENTIFIER XI251
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4034967
EFFECTIVE DATE/TIME
  • 2015-10-27 00:00:00
    STATUS:   ACTIVE
  • 2021-10-18 00:00:00
    STATUS:   INACTIVE
  • 2021-10-18 00:00:00
    STATUS:   INACTIVE
  • 2021-10-18 00:00:00
    STATUS:   INACTIVE
  • 2021-10-18 00:00:00
    STATUS:   INACTIVE