COOL CONTROL B (GLUCOSE) HIGH CONTROL SOLN (26699)    VA PRODUCT (50.68)

Name Value
NAME COOL CONTROL B (GLUCOSE) HIGH 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 COOL CONTROL B (GLUCOSE) HI CNTRL SOLN
VA PRODUCT IDENTIFIER C1763
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4035536
EFFECTIVE DATE/TIME
  • 2016-03-22 00:00:00
    STATUS:   ACTIVE