LINER,GLOVE MEDIUM (26708)    VA PRODUCT (50.68)

Name Value
NAME LINER,GLOVE MEDIUM
VA GENERIC NAME LINER
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME LINER MISCELLANEOUS
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 LINER,GLOVE MEDIUM
VA PRODUCT IDENTIFIER XI465
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4035545
EFFECTIVE DATE/TIME
  • 2016-03-24 00:00:00
    STATUS:   ACTIVE