BRIEF,TRANQUILITY LARGE #2976-100 (31254)    VA PRODUCT (50.68)

Name Value
NAME BRIEF,TRANQUILITY LARGE #2976-100
VA GENERIC NAME UNDERPANTS
DOSAGE FORM MISCELLANEOUS
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME UNDERPANTS MISCELLANEOUS
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-06-29 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BRIEF,TRANQUILITY LARGE #2976-100
VA PRODUCT IDENTIFIER XK755
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040624
EFFECTIVE DATE/TIME
  • 2021-06-29 00:00:00
    STATUS:   ACTIVE
  • 2021-06-29 00:00:00
    STATUS:   ACTIVE
  • 2021-06-29 00:00:00
    STATUS:   ACTIVE
  • 2021-06-29 00:00:00
    STATUS:   ACTIVE