BETAINE HCL 648MG/PROTEASE 15MG TAB (10165) VA PRODUCT (50.68)

Name	Value
NAME	BETAINE HCL 648MG/PROTEASE 15MG TAB
VA GENERIC NAME	BETAINE/PROTEASE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	PROTEASE STRENGTH: 15 UNITS: MG BETAINE HYDROCHLORIDE STRENGTH: 648 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2011-11-02 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	BETAINE/PROTEASE TAB
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	BETAINE HCL 648MG/PROTEASE 15MG TAB
VA PRODUCT IDENTIFIER	B0368
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4010543
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2011-11-02 00:00:00 STATUS: INACTIVE