FREESTYLE LIBRE (GLUCOSE) READER (29193)    VA PRODUCT (50.68)

Name Value
NAME FREESTYLE LIBRE (GLUCOSE) READER
VA GENERIC NAME GLUCOSE TEST
DOSAGE FORM DEVICE
HAZARDOUS TO DISPOSE NO
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2020-10-15 00:00:00
NATIONAL FORMULARY NAME GLUCOSE TEST DEVICE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2019-04-22 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME FREESTYLE LIBRE (GLUCOSE) READER
VA PRODUCT IDENTIFIER F0677
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4038329
EFFECTIVE DATE/TIME
  • 2019-04-23 00:00:00
    STATUS:   ACTIVE
  • 2020-10-15 00:00:00
    STATUS:   INACTIVE
  • 2020-10-15 00:00:00
    STATUS:   INACTIVE
  • 2020-10-15 00:00:00
    STATUS:   INACTIVE