CARBIDOPA 25MG/LEVODOPA 100MG TAB,SA,UD (15592) VA PRODUCT (50.68)

Name	Value
NAME	CARBIDOPA 25MG/LEVODOPA 100MG TAB,SA,UD
VA GENERIC NAME	CARBIDOPA/LEVODOPA
DOSAGE FORM	TAB,SA
ACTIVE INGREDIENTS	LEVODOPA STRENGTH: 100 UNITS: MG CARBIDOPA STRENGTH: 25 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	CARBIDOPA/LEVODOPA TAB,SA
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	CARBIDOPA 25MG/LEVODOPA 100MG SA TAB UD
VA PRODUCT IDENTIFIER	C1049
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4015955
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE