LINER,GLOVE SMALL (26710)    VA PRODUCT (50.68)

Name Value
NAME LINER,GLOVE SMALL
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 SMALL
VA PRODUCT IDENTIFIER XI467
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4035547
EFFECTIVE DATE/TIME
  • 2016-03-24 00:00:00
    STATUS:   ACTIVE