GLOVE COTTON SMALL (PAIR) (12318)    VA PRODUCT (50.68)

Name Value
NAME GLOVE COTTON SMALL (PAIR)
VA GENERIC NAME SUPPLY
DOSAGE FORM GLOVE
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2021-07-15 00:00:00
DSS NUMBER 63
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 SMALL (PAIR)
VA PRODUCT IDENTIFIER XX387
TRANSMIT TO CMOP NO
VA DISPENSE UNIT PR
MASTER ENTRY FOR VUID YES
VUID 4012684
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