MICRO-BUMINTEST (ALBUMIN) TEST KIT (11750)    VA PRODUCT (50.68)

Name Value
NAME MICRO-BUMINTEST (ALBUMIN) TEST KIT
VA GENERIC NAME ALBUMIN TEST
DOSAGE FORM TEST STRIP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2016-06-15 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME ALBUMIN TEST TEST STRIP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME MICRO-BUMINTEST ALBUMIN TEST KIT
VA PRODUCT IDENTIFIER M0242
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4012119
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE