INCONT LINER TENA MAX REG (29046)    VA PRODUCT (50.68)

Name Value
NAME INCONT LINER TENA MAX REG
VA GENERIC NAME PAD
DOSAGE FORM PAD
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME PAD PAD
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2019-02-15 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME INCONT LINER TENA MAX REG
VA PRODUCT IDENTIFIER XJ564
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4038153
EFFECTIVE DATE/TIME
  • 2019-02-15 00:00:00
    STATUS:   ACTIVE