GLUCOSE SENSOR ENLITE MMT-7008A (28794)    VA PRODUCT (50.68)

Name Value
NAME GLUCOSE SENSOR ENLITE MMT-7008A
VA GENERIC NAME GLUCOSE SENSOR
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME GLUCOSE SENSOR MISCELLANEOUS
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2018-09-28 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME GLUCOSE SENSOR ENLITE MMT-7008A
VA PRODUCT IDENTIFIER XJ454
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037859
EFFECTIVE DATE/TIME
  • 2018-09-28 00:00:00
    STATUS:   ACTIVE