FREESTYLE (GLUCOSE) METER (18863)    VA PRODUCT (50.68)

Name Value
NAME FREESTYLE (GLUCOSE) METER
VA GENERIC NAME GLUCOSE TEST
DOSAGE FORM DEVICE
NATIONAL FORMULARY NAME GLUCOSE TEST DEVICE
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 FREESTYLE (GLUCOSE) METER
VA PRODUCT IDENTIFIER XV622
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4026690
EFFECTIVE DATE/TIME
  • 2007-11-14 00:00:00
    STATUS:   ACTIVE