CARBIDOPA 25MG/ENTACAPONE 200MG/LEVODOPA 100MG TAB (16461) VA PRODUCT (50.68)

Name	Value
NAME	CARBIDOPA 25MG/ENTACAPONE 200MG/LEVODOPA 100MG TAB
VA GENERIC NAME	CARBIDOPA/ENTACAPONE/LEVODOPA
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	LEVODOPA STRENGTH: 100 UNITS: MG ENTACAPONE STRENGTH: 200 UNITS: MG CARBIDOPA STRENGTH: 25 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	CARBIDOPA/ENTACAPONE/LEVODOPA 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	CARBI 25/ENTACAPONE 200/LEVOD 100MG TAB
VA PRODUCT IDENTIFIER	C1128
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4016824
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE