GLUCOSE CONTROL 3 LEVEL (ACCU-CHEK II,IIM,III) SOLN (8028)    VA PRODUCT (50.68)

Name Value
NAME GLUCOSE CONTROL 3 LEVEL (ACCU-CHEK II,IIM,III) SOLN
VA GENERIC NAME GLUCOSE TEST
DOSAGE FORM SOLN,CONTROL
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2007-09-20 00:00:00
DSS NUMBER 26
NATIONAL FORMULARY NAME GLUCOSE TEST SOLN
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME GLUCOSE CONTROL 3L ACCU-CHEK II,IIM,III
VA PRODUCT IDENTIFIER XG014
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4008504
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-20 00:00:00
    STATUS:   INACTIVE