TAPE,GLUCOSE SENSOR MMT-7015NA (28559)    VA PRODUCT (50.68)

Name Value
NAME TAPE,GLUCOSE SENSOR MMT-7015NA
VA GENERIC NAME TAPE
DOSAGE FORM TAPE
NATIONAL FORMULARY NAME TAPE TAPE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2018-06-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TAPE,GLUCOSE SENSOR MMT-7015NA
VA PRODUCT IDENTIFIER XJ344
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037586
EFFECTIVE DATE/TIME
  • 2018-06-04 00:00:00
    STATUS:   ACTIVE
  • 2018-06-04 00:00:00
    STATUS:   ACTIVE