GLUCOMETER DEX (GLUCOSE) TEST STRIP (13651)    VA PRODUCT (50.68)

Name Value
NAME GLUCOMETER DEX (GLUCOSE) TEST STRIP
VA GENERIC NAME GLUCOSE TEST
DOSAGE FORM TEST STRIP
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2010-02-03 00:00:00
NATIONAL FORMULARY NAME GLUCOSE TEST TEST STRIP
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 TEST STRIP
VA PRODUCT IDENTIFIER XX836
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4014016
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2010-02-03 00:00:00
    STATUS:   INACTIVE
  • 2010-02-03 00:00:00
    STATUS:   INACTIVE