BETAINE 1GM/1.7GM PWDR,ORAL (12637)    VA PRODUCT (50.68)

Name Value
NAME BETAINE 1GM/1.7GM PWDR,ORAL
VA GENERIC NAME BETAINE
DOSAGE FORM POWDER,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 1
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS GM/1.7GM
DSS NUMBER 1
NATIONAL FORMULARY NAME BETAINE POWDER,ORAL
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
    COPAY END DATE:   2022-03-23 00:00:00
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2022-03-24 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BETAINE 1GM/1.7GM ORAL PWDR
VA PRODUCT IDENTIFIER B0309
TRANSMIT TO CMOP YES
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4013002
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2018-02-13 00:00:00
    STATUS:   ACTIVE
  • 2021-10-18 00:00:00
    STATUS:   INACTIVE
  • 2021-10-18 00:00:00
    STATUS:   INACTIVE
  • 2021-10-18 00:00:00
    STATUS:   INACTIVE
  • 2021-10-18 00:00:00
    STATUS:   INACTIVE
  • 2022-03-29 00:00:00
    STATUS:   ACTIVE