INCONTINENCE WRAP,MALE (30022)    VA PRODUCT (50.68)

Name Value
NAME INCONTINENCE WRAP,MALE
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:   2020-04-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME INCONTINENCE WRAP,MALE
VA PRODUCT IDENTIFIER XK038
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4039260
EFFECTIVE DATE/TIME
  • 2020-04-01 00:00:00
    STATUS:   ACTIVE