GLOVE NITRILE SMALL PWDR-FREE NONSTERILE TEXTURED #72-10501 (17259)    VA PRODUCT (50.68)

Name Value
NAME GLOVE NITRILE SMALL PWDR-FREE NONSTERILE TEXTURED #72-10501
VA GENERIC NAME GLOVE
DOSAGE FORM GLOVE
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 SM PFREE NSTERILE TX10501
VA PRODUCT IDENTIFIER G0265
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4024691
EFFECTIVE DATE/TIME
  • 2006-01-24 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