PADDING,COTTON UNDERCAST 3IN X 4YD (28195)    VA PRODUCT (50.68)

Name Value
NAME PADDING,COTTON UNDERCAST 3IN X 4YD
VA GENERIC NAME UNDERCAST
DOSAGE FORM PAD,TOP
NATIONAL FORMULARY NAME UNDERCAST PAD,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2018-02-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME PADDING,COTTON UNDERCAST 3IN X 4YD
VA PRODUCT IDENTIFIER XJ164
TRANSMIT TO CMOP NO
VA DISPENSE UNIT BAG
MASTER ENTRY FOR VUID YES
VUID 4037179
EFFECTIVE DATE/TIME
  • 2017-12-21 00:00:00
    STATUS:   ACTIVE