ACCU-CHEK COMPACT PLUS (GLUCOSE) TEST DRUM,17 (24631)    VA PRODUCT (50.68)

Name Value
NAME ACCU-CHEK COMPACT PLUS (GLUCOSE) TEST DRUM,17
VA GENERIC NAME GLUCOSE TEST
DOSAGE FORM TEST STRIP
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 ACCU-CHEK CMPT PLUS(GLUCOSE) TEST DRM,17
VA PRODUCT IDENTIFIER A1750
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4033232
EFFECTIVE DATE/TIME
  • 2014-04-16 00:00:00
    STATUS:   ACTIVE