FORA (GLUCOSE) NORMAL CONTROL SOLN (26103)    VA PRODUCT (50.68)

Name Value
NAME FORA (GLUCOSE) NORMAL CONTROL SOLN
VA GENERIC NAME GLUCOSE CONTROL
DOSAGE FORM SOLN,CONTROL
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME GLUCOSE CONTROL SOLN,CONTROL
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 FORA (GLUCOSE) NORMAL CONTROL SOLN
VA PRODUCT IDENTIFIER F0581
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4034906
EFFECTIVE DATE/TIME
  • 2015-10-20 00:00:00
    STATUS:   ACTIVE