| NAME |
GLUCOSE 75GM/300ML LIQUID,ORAL |
| VA GENERIC NAME |
GLUCOSE |
| DOSAGE FORM |
LIQUID,ORAL |
| ACTIVE INGREDIENTS |
|
| STRENGTH |
75 |
| UNITS |
GM/300ML |
| NATIONAL FORMULARY NAME |
GLUCOSE LIQUID,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
GLUCOSE 75GM/300ML LIQUID,ORAL |
| VA PRODUCT IDENTIFIER |
G0250 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
BTL |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4017268 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
|
