CHEMSTRIP 8 (MULTIPLE) TEST STRIP (8907) VA PRODUCT (50.68)

Name	Value
NAME	CHEMSTRIP 8 (MULTIPLE) TEST STRIP
VA GENERIC NAME	BILIRUBIN/BLOOD/GLUCOSE/KETONE/LEUKOCYTES/pH/PROTEIN/UROBILINOGE
DOSAGE FORM	TEST STRIP
ACTIVE INGREDIENTS	GLUCOSE TEST PROTEIN TEST pH TEST KETONE TEST BLOOD TEST BILIRUBIN TEST LEUKOCYTES TEST UROBILINOGEN TEST
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-19 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	BILIRUBIN/BLOOD/GLUCOSE/KETONE/LEUKOCYTES/PH/PROTEIN/UROBILINOGE 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	CHEMSTRIP 8 MULTIPLE TEST STRIP
VA PRODUCT IDENTIFIER	C0372
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	STRIP
MASTER ENTRY FOR VUID	YES
VUID	4009359
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-19 00:00:00 STATUS: INACTIVE