GLOVE NITRILE X-LARGE W/ALOE NONSTERILE TEXTURED (31135)    VA PRODUCT (50.68)

Name Value
NAME GLOVE NITRILE X-LARGE W/ALOE NONSTERILE TEXTURED
VA GENERIC NAME GLOVE
DOSAGE FORM GLOVE
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME GLOVE GLOVE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-05-26 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME GLOVE NITRILE X-LRG W/ALOE NSTERL TX
VA PRODUCT IDENTIFIER XK686
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040490
EFFECTIVE DATE/TIME
  • 2021-05-26 00:00:00
    STATUS:   ACTIVE
  • 2021-05-26 00:00:00
    STATUS:   ACTIVE
  • 2021-05-26 00:00:00
    STATUS:   ACTIVE