GLOVE NITRILE LARGE PWDR-FREE NONSTERILE TEXTURED #455-5293 (13921)    VA PRODUCT (50.68)

Name Value
NAME GLOVE NITRILE LARGE PWDR-FREE NONSTERILE TEXTURED #455-5293
VA GENERIC NAME GLOVE
DOSAGE FORM GLOVE
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2010-04-22 00:00:00
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 NITRILE LRG PFREE NSTERILE TX 5293
VA PRODUCT IDENTIFIER XX930
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4014285
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2010-03-16 00:00:00
    STATUS:   INACTIVE
  • 2010-05-12 00:00:00
    STATUS:   ACTIVE
  • 2010-04-22 00:00:00
    STATUS:   INACTIVE