GLUCOSAMINE/S-ADENOSYLMETHIONINE (SAM-e) CAP/TAB (16819)    VA PRODUCT (50.68)

Name Value
NAME GLUCOSAMINE/S-ADENOSYLMETHIONINE (SAM-e) CAP/TAB
VA GENERIC NAME GLUCOSAMINE/S-ADENOSYLMETHIONINE (SAM-E)
DOSAGE FORM CAP/TAB
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
NATIONAL FORMULARY NAME GLUCOSAMINE/S-ADENOSYLMETHIONINE (SAM-E) CAP/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 GLUCOSAMINE/SAM-E CAP/TAB
VA PRODUCT IDENTIFIER G0248
TRANSMIT TO CMOP NO
VA DISPENSE UNIT CAP/TAB
MASTER ENTRY FOR VUID YES
VUID 4017182
EFFECTIVE DATE/TIME
  • 2004-11-19 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   ACTIVE