BRIEF,ESSENTIAL MEDIUM #2965-100 (31239)    VA PRODUCT (50.68)

Name Value
NAME BRIEF,ESSENTIAL MEDIUM #2965-100
VA GENERIC NAME DIAPER
DOSAGE FORM MISCELLANEOUS
HAZARDOUS TO DISPOSE NO
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2021-06-29 00:00:00
NATIONAL FORMULARY NAME DIAPER MISCELLANEOUS
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-06-25 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BRIEF,ESSENTIAL MEDIUM #2965-100
VA PRODUCT IDENTIFIER XK735
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040604
EFFECTIVE DATE/TIME
  • 2021-06-29 00:00:00
    STATUS:   ACTIVE
  • 2021-06-29 00:00:00
    STATUS:   INACTIVE
  • 2021-06-29 00:00:00
    STATUS:   ACTIVE
  • 2021-06-29 00:00:00
    STATUS:   INACTIVE
  • 2021-06-29 00:00:00
    STATUS:   ACTIVE
  • 2021-06-29 00:00:00
    STATUS:   INACTIVE
  • 2021-06-29 00:00:00
    STATUS:   ACTIVE
  • 2021-06-29 00:00:00
    STATUS:   INACTIVE