GLUCOFILM NORMAL CONTROL SOLN (8040)    VA PRODUCT (50.68)

Name Value
NAME GLUCOFILM NORMAL CONTROL SOLN
VA GENERIC NAME GLUCOSE TEST
DOSAGE FORM SOLN,CONTROL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
DSS NUMBER 38
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 GLUCOFILM NORMAL CONTROL SOLN
VA PRODUCT IDENTIFIER XX093
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4008516
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE