GLOVE NITRILE X-LARGE PWDR-FREE NONSTERILE TEXTURED #72-10504 (17262)    VA PRODUCT (50.68)

Name Value
NAME GLOVE NITRILE X-LARGE PWDR-FREE NONSTERILE TEXTURED #72-10504
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 X-LRG PFREE NSTERL TX10504
VA PRODUCT IDENTIFIER XV005
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4024694
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