GLUCOVITA TAB (17808)    VA PRODUCT (50.68)

Name Value
NAME GLUCOVITA TAB
VA GENERIC NAME GLUCOVITA
DOSAGE FORM TAB
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME GLUCOVITA TAB
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME GLUCOVITA TAB
VA PRODUCT IDENTIFIER G0271
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4025420
EFFECTIVE DATE/TIME
  • 2006-07-20 00:00:00
    STATUS:   ACTIVE