NICOMIDE TAB,SA (17916) VA PRODUCT (50.68)

Name	Value
NAME	NICOMIDE TAB,SA
VA GENERIC NAME	COPPER/FOLIC/NIACINAMIDE/ZINC
DOSAGE FORM	TAB,SA
ACTIVE INGREDIENTS	NIACINAMIDE STRENGTH: 750 UNITS: MG ZINC OXIDE STRENGTH: 25 UNITS: MG COPPER STRENGTH: 1.5 UNITS: MG FOLIC ACID STRENGTH: 0.5 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	COPPER/FOLIC/NIACINAMIDE/ZINC 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	NICOMIDE SA TAB
VA PRODUCT IDENTIFIER	N0485
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4025618
EFFECTIVE DATE/TIME	2006-10-11 00:00:00 STATUS: ACTIVE