APPLICATOR,FOAM REPLACEMENT PAD (30971)    VA PRODUCT (50.68)

Name Value
NAME APPLICATOR,FOAM REPLACEMENT PAD
VA GENERIC NAME APPLICATOR
DOSAGE FORM APPLICATOR
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME APPLICATOR APPLICATOR
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-04-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME APPLICATOR,FOAM REPLACEMENT PAD
VA PRODUCT IDENTIFIER XK571
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040313
EFFECTIVE DATE/TIME
  • 2021-04-01 00:00:00
    STATUS:   ACTIVE
  • 2021-04-01 00:00:00
    STATUS:   ACTIVE
  • 2021-04-01 00:00:00
    STATUS:   ACTIVE