N-MULTISTIX (MULTIPLE) TEST STRIP (8740) VA PRODUCT (50.68)

Name	Value
NAME	N-MULTISTIX (MULTIPLE) TEST STRIP
VA GENERIC NAME	BILIRUBIN/BLOOD/GLUCOSE/KETONE/NITRITE/pH/PROTEIN/UROBILINOGEN
DOSAGE FORM	TEST STRIP
ACTIVE INGREDIENTS	GLUCOSE TEST PROTEIN TEST pH TEST KETONE TEST BLOOD TEST BILIRUBIN TEST NITRITE TEST UROBILINOGEN TEST
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-24 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	BILIRUBIN/BLOOD/GLUCOSE/KETONE/NITRITE/PH/PROTEIN/UROBILINOGEN TEST STRIP
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	N-MULTISTIX MULTIPLE TEST STRIP
VA PRODUCT IDENTIFIER	N0097
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	STRIP
MASTER ENTRY FOR VUID	YES
VUID	4009197
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-24 00:00:00 STATUS: INACTIVE