GLOVE COTTON MEDIUM (PAIR) (12261)    VA PRODUCT (50.68)

Name Value
NAME GLOVE COTTON MEDIUM (PAIR)
VA GENERIC NAME SUPPLY
DOSAGE FORM GLOVE
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2021-07-15 00:00:00
DSS NUMBER 5
NATIONAL FORMULARY NAME SUPPLY GLOVE
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 GLOVE COTTON MEDIUM (PAIR)
VA PRODUCT IDENTIFIER XG016
TRANSMIT TO CMOP YES
VA DISPENSE UNIT PR
MASTER ENTRY FOR VUID YES
VUID 4012627
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2021-07-15 00:00:00
    STATUS:   INACTIVE
  • 2021-07-15 00:00:00
    STATUS:   INACTIVE
  • 2021-07-15 00:00:00
    STATUS:   INACTIVE