BITE PAD,THERABITE EDENTULOUS #PA002 (29513)    VA PRODUCT (50.68)

Name Value
NAME BITE PAD,THERABITE EDENTULOUS #PA002
VA GENERIC NAME PAD,BITE
DOSAGE FORM PAD
HAZARDOUS TO DISPOSE NO
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME PAD,BITE PAD
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2019-09-11 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BITE PAD,THERABITE EDENTULOUS #PA002
VA PRODUCT IDENTIFIER XJ777
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4038691
EFFECTIVE DATE/TIME
  • 2019-09-11 00:00:00
    STATUS:   ACTIVE
  • 2019-09-11 00:00:00
    STATUS:   ACTIVE
  • 2019-09-11 00:00:00
    STATUS:   ACTIVE