PRODIGY AUTOCODE (GLUCOSE) TEST STRIP (18805)    VA PRODUCT (50.68)

Name Value
NAME PRODIGY AUTOCODE (GLUCOSE) TEST STRIP
VA GENERIC NAME GLUCOSE TEST
DOSAGE FORM TEST STRIP
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2012-08-24 00:00:00
NATIONAL FORMULARY NAME GLUCOSE TEST TEST STRIP
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 PRODIGY AUTOCODE (GLUCOSE) TEST STRIP
VA PRODUCT IDENTIFIER XV573
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4026622
EFFECTIVE DATE/TIME
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE
  • 2012-08-24 00:00:00
    STATUS:   INACTIVE