GLUCOSE CONTROL GLUCOMETER ELITE NORMAL SOLN (8042)    VA PRODUCT (50.68)

Name Value
NAME GLUCOSE CONTROL GLUCOMETER ELITE NORMAL SOLN
VA GENERIC NAME GLUCOSE TEST
DOSAGE FORM SOLN,CONTROL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
DSS NUMBER 40
NATIONAL FORMULARY NAME GLUCOSE TEST SOLN,CONTROL
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 CONTRL GLUCOMETER ELITE NORM SLN
VA PRODUCT IDENTIFIER XG020
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4008518
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE