| NAME |
L-METHYLFOLATE 2.8/METHYLCOBALAMIN 2/PYRIDOXAL 25MG TAB |
| VA GENERIC NAME |
L-METHYLFOLATE/METHYLCOBALAMIN/PYRIDOXAL |
| DOSAGE FORM |
TAB |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| INACTIVATION DATE |
2013-04-11 00:00:00 |
| NATIONAL FORMULARY NAME |
L-METHYLFOLATE/METHYLCOBALAMIN/PYRIDOXAL TAB |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
M-FOLATE/M-COBALAMIN/PYRIDOXAL TAB |
| VA PRODUCT IDENTIFIER |
L0530 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
TAB |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4024797 |
| EFFECTIVE DATE/TIME |
-
- 2006-01-24 00:00:00
- STATUS: ACTIVE
|
