GLUCOMETER DEX (GLUCOSE) METER (13650)    VA PRODUCT (50.68)

Name Value
NAME GLUCOMETER DEX (GLUCOSE) METER
VA GENERIC NAME GLUCOSE TEST
DOSAGE FORM DEVICE
NATIONAL FORMULARY NAME GLUCOSE TEST DEVICE
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 DEX GLUCOSE METER
VA PRODUCT IDENTIFIER G0190
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4014015
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE