INCONT LINER TENA DAY PLUS (31886)    VA PRODUCT (50.68)

Name Value
NAME INCONT LINER TENA DAY PLUS
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:   2022-04-12 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME INCONT LINER TENA DAY PLUS
VA PRODUCT IDENTIFIER XL145
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4041332
EFFECTIVE DATE/TIME
  • 2022-04-12 00:00:00
    STATUS:   ACTIVE