PADDING,FOAM ADHESIVE SIFOAM 8IN X 9IN (28916)    VA PRODUCT (50.68)

Name Value
NAME PADDING,FOAM ADHESIVE SIFOAM 8IN X 9IN
VA GENERIC NAME PAD
DOSAGE FORM PAD,TOP
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME PAD PAD,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2018-11-20 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME PADDING,FOAM ADHESIVE SIFOAM 8IN X 9IN
VA PRODUCT IDENTIFIER XJ507
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4038002
EFFECTIVE DATE/TIME
  • 2018-11-26 00:00:00
    STATUS:   ACTIVE