PHENYLALANINE 500MG TAB (10136)    VA PRODUCT (50.68)

Name Value
NAME PHENYLALANINE 500MG TAB
VA GENERIC NAME PHENYLALANINE
DOSAGE FORM TAB
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 500
UNITS MG
DSS NUMBER 1
NATIONAL FORMULARY NAME PHENYLALANINE TAB
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 PHENYLALANINE 500MG TAB
VA PRODUCT IDENTIFIER P0804
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4010516
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2011-09-08 00:00:00
    STATUS:   INACTIVE
  • 2012-09-10 00:00:00
    STATUS:   ACTIVE
  • 2012-08-08 00:00:00
    STATUS:   INACTIVE
  • 2012-09-10 00:00:00
    STATUS:   ACTIVE