GLOVE VINYL MEDIUM STERILE (PAIR) (20901)    VA PRODUCT (50.68)

Name Value
NAME GLOVE VINYL MEDIUM STERILE (PAIR)
VA GENERIC NAME GLOVE
DOSAGE FORM GLOVE
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2010-04-21 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 VINYL MEDIUM STERILE(PAIR)
VA PRODUCT IDENTIFIER XU979
TRANSMIT TO CMOP YES
VA DISPENSE UNIT PR
MASTER ENTRY FOR VUID YES
VUID 4028981
EFFECTIVE DATE/TIME
  • 2009-09-09 00:00:00
    STATUS:   ACTIVE
  • 2010-04-21 00:00:00
    STATUS:   INACTIVE