PAD,CALLUS PROTECTOR PEDIFIX #8023 (31958)    VA PRODUCT (50.68)

Name Value
NAME PAD,CALLUS PROTECTOR PEDIFIX #8023
VA GENERIC NAME PAD,CALLUS
DOSAGE FORM PAD
HAZARDOUS TO DISPOSE NO
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME PAD,CALLUS PAD
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2022-05-17 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME PAD,CALLUS PROTECTOR PEDIFIX #8023
VA PRODUCT IDENTIFIER XL190
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4041406
EFFECTIVE DATE/TIME
  • 2022-05-17 00:00:00
    STATUS:   ACTIVE