CUVETTES,PROTIME DISPOSABLE 3-CHANNEL (19651)    VA PRODUCT (50.68)

Name Value
NAME CUVETTES,PROTIME DISPOSABLE 3-CHANNEL
VA GENERIC NAME CUVETTES
DOSAGE FORM TEST STRIP
NATIONAL FORMULARY NAME CUVETTES 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 CUVETTES,PROTIME DISPOSABLE 3-CHANNEL
VA PRODUCT IDENTIFIER XU179
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4027558
EFFECTIVE DATE/TIME
  • 2008-06-11 00:00:00
    STATUS:   ACTIVE