CALCIUM 400MG/MAGNESIUM 10MG/VIT D 400 UNT/VIT K 20MCG LOZENGE (20747) VA PRODUCT (50.68)

Name	Value
NAME	CALCIUM 400MG/MAGNESIUM 10MG/VIT D 400 UNT/VIT K 20MCG LOZENGE
VA GENERIC NAME	CALCIUM/MAGNESIUM/VITAMIN D/VITAMIN K
DOSAGE FORM	LOZENGE
ACTIVE INGREDIENTS	VITAMIN K STRENGTH: 20 UNITS: MCG CALCIUM CITRATE STRENGTH: 400 UNITS: MG VITAMIN D STRENGTH: 400 UNITS: UNIT MAGNESIUM (AS OXIDE) STRENGTH: 10 UNITS: MG
NATIONAL FORMULARY NAME	CALCIUM/MAGNESIUM/VITAMIN D/VITAMIN K LOZENGE
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	CA 400/MAG 10/VIT D 400/VIT K 20 LOZENGE
VA PRODUCT IDENTIFIER	C1385
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	LOZ
MASTER ENTRY FOR VUID	YES
VUID	4028786
EFFECTIVE DATE/TIME	2009-07-09 00:00:00 STATUS: ACTIVE