CARBIDOPA 18.75MG/ENTACAPONE 200MG/LEVODOPA 75MG TAB (20690) VA PRODUCT (50.68)

Name	Value
NAME	CARBIDOPA 18.75MG/ENTACAPONE 200MG/LEVODOPA 75MG TAB
VA GENERIC NAME	CARBIDOPA/ENTACAPONE/LEVODOPA
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	LEVODOPA STRENGTH: 75 UNITS: MG ENTACAPONE STRENGTH: 200 UNITS: MG CARBIDOPA STRENGTH: 18.75 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 18.75/ENTACAPONE 200/LEVO 75MG TAB
VA PRODUCT IDENTIFIER	C1376
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4028714
EFFECTIVE DATE/TIME	2009-06-10 00:00:00 STATUS: ACTIVE