GLOVE NITRILE LARGE PWDR-FREE STERILE TEXTURED (31368)    VA PRODUCT (50.68)

Name Value
NAME GLOVE NITRILE LARGE PWDR-FREE STERILE 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:   2021-08-13 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME GLOVE NITRILE LARGE PFREE STERILE TX
VA PRODUCT IDENTIFIER XK823
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040748
EFFECTIVE DATE/TIME
  • 2021-08-16 00:00:00
    STATUS:   ACTIVE
  • 2021-08-16 00:00:00
    STATUS:   ACTIVE
  • 2021-08-16 00:00:00
    STATUS:   ACTIVE