DEXTROSE 32GM/80GM SQUEEZE TUBE (3659)    VA PRODUCT (50.68)

Name Value
NAME DEXTROSE 32GM/80GM SQUEEZE TUBE
VA GENERIC NAME DEXTROSE
DOSAGE FORM LIQUID
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 32
INACTIVATION DATE 2004-11-18 00:00:00
UNITS GM
DSS NUMBER 21
NATIONAL FORMULARY NAME DEXTROSE LIQUID
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DEXTROSE 32GM/80GM SQUEEZE TUBE
VA PRODUCT IDENTIFIER D0191
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4004219
EFFECTIVE DATE/TIME
  • 2004-11-18 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-19 00:00:00
    STATUS:   INACTIVE