PAD,ADHESIVE NU-HOPE #5090 (30879)    VA PRODUCT (50.68)

Name Value
NAME PAD,ADHESIVE NU-HOPE #5090
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:   2021-03-15 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME PAD,ADHESIVE NU-HOPE #5090
VA PRODUCT IDENTIFIER XK506
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040219
EFFECTIVE DATE/TIME
  • 2021-03-15 00:00:00
    STATUS:   ACTIVE
  • 2021-03-15 00:00:00
    STATUS:   ACTIVE
  • 2021-03-15 00:00:00
    STATUS:   ACTIVE