GLOVE VINYL SMALL PWDR-FREE NONSTERILE (13188)    VA PRODUCT (50.68)

Name Value
NAME GLOVE VINYL SMALL PWDR-FREE NONSTERILE
VA GENERIC NAME GLOVE
DOSAGE FORM GLOVE
NATIONAL FORMULARY NAME GLOVE 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 VINYL SMALL PWDR-FREE NONSTERILE
VA PRODUCT IDENTIFIER XX707
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4013553
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE