GLUCOMETER ELITE LOW CONTROL (12562)    VA PRODUCT (50.68)

Name Value
NAME GLUCOMETER ELITE LOW CONTROL
VA GENERIC NAME GLUCOSE CONTROL
DOSAGE FORM SOLN,CONTROL
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2012-02-01 00:00:00
DSS NUMBER 5
NATIONAL FORMULARY NAME GLUCOSE CONTROL SOLN
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 GLUCOMETER ELITE LOW CONTROL
VA PRODUCT IDENTIFIER XX208
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4012927
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2012-02-01 00:00:00
    STATUS:   INACTIVE