UNDERGARMENT,BELTED,HEAVY ABSORBENCY,SURECARE#1058 (31438)    VA PRODUCT (50.68)

Name Value
NAME UNDERGARMENT,BELTED,HEAVY ABSORBENCY,SURECARE#1058
VA GENERIC NAME DIAPER
DOSAGE FORM MISCELLANEOUS
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME DIAPER MISCELLANEOUS
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-09-24 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME UNDERGARBENT,BELTED,HEAVY ABS,S#1058
VA PRODUCT IDENTIFIER XK871
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040822
EFFECTIVE DATE/TIME
  • 2021-09-27 00:00:00
    STATUS:   ACTIVE
  • 2021-09-27 00:00:00
    STATUS:   ACTIVE
  • 2021-09-27 00:00:00
    STATUS:   ACTIVE