GLOVE NITRILE SZ 10 STERILE PWDR-FREE (PAIR) (22559)    VA PRODUCT (50.68)

Name Value
NAME GLOVE NITRILE SZ 10 STERILE PWDR-FREE (PAIR)
VA GENERIC NAME GLOVE
DOSAGE FORM GLOVE
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 NITRILE SZ 10 STERILE (PR) P-FREE
VA PRODUCT IDENTIFIER XR094
TRANSMIT TO CMOP NO
VA DISPENSE UNIT PR
MASTER ENTRY FOR VUID YES
VUID 4030866
EFFECTIVE DATE/TIME
  • 2011-08-08 00:00:00
    STATUS:   ACTIVE