POISE PAD,LIGHT ABSORB REGULAR COVERAGE (30735)    VA PRODUCT (50.68)

Name Value
NAME POISE PAD,LIGHT ABSORB REGULAR COVERAGE
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:   2021-02-19 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME POISE PAD,LIGHT ABSORB REGULAR COVERAGE
VA PRODUCT IDENTIFIER XK389
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040063
EFFECTIVE DATE/TIME
  • 2021-02-19 00:00:00
    STATUS:   ACTIVE
  • 2021-02-19 00:00:00
    STATUS:   ACTIVE
  • 2021-02-19 00:00:00
    STATUS:   ACTIVE