TD GOLD LEVEL 2 (GLUCOSE) NORMAL CONTROL SOLN (28127)    VA PRODUCT (50.68)

Name Value
NAME TD GOLD LEVEL 2 (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:   2018-01-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TD GOLD LEVEL 2 (GLUCOSE) LOW CNTRL SOLN
VA PRODUCT IDENTIFIER T0973
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037099
EFFECTIVE DATE/TIME
  • 2017-11-24 00:00:00
    STATUS:   ACTIVE