| NAME |
INCONTINENCE LINER,ATTEND DISCREET WOMEN'S MAX #ADPMAX |
| VA GENERIC NAME |
PAD |
| DOSAGE FORM |
PAD |
| HAZARDOUS TO DISPOSE |
NO |
| CS FEDERAL SCHEDULE |
Unscheduled |
| INACTIVATION DATE |
2023-03-30 00:00:00 |
| NATIONAL FORMULARY NAME |
PAD PAD |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2023-03-20 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
INCONT LINER,ATTEND DISCREET #ADPMAX |
| VA PRODUCT IDENTIFIER |
XL487 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4042114 |
| EFFECTIVE DATE/TIME |
-
- 2023-03-22 00:00:00
- STATUS: ACTIVE
-
- 2023-03-30 00:00:00
- STATUS: INACTIVE
|
