PADDING,SYNTHETIC UNDERCAST 4IN X 4YD (32388)    VA PRODUCT (50.68)

Name Value
NAME PADDING,SYNTHETIC UNDERCAST 4IN X 4YD
VA GENERIC NAME UNDERCAST
DOSAGE FORM PAD,TOP
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME UNDERCAST PAD,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2022-12-13 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME PADDING,SYNTHETIC UNDERCAST 4IN X 4YD
VA PRODUCT IDENTIFIER XL397
TRANSMIT TO CMOP NO
VA DISPENSE UNIT BAG
MASTER ENTRY FOR VUID YES
VUID 4041885
EFFECTIVE DATE/TIME
  • 2022-12-13 00:00:00
    STATUS:   ACTIVE