BIFIDOBACTERIUM/LACTOBACILLUS CAP,ORAL (21441)    VA PRODUCT (50.68)

Name Value
NAME BIFIDOBACTERIUM/LACTOBACILLUS CAP,ORAL
VA GENERIC NAME BIFIDOBACTERIUM/LACTOBACILLUS
DOSAGE FORM CAP,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2017-11-02 00:00:00
NATIONAL FORMULARY NAME BIFIDOBACTERIUM/LACTOBACILLUS CAP,ORAL
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 BIFIDOBACTERIUM/LACTOBACILLUS ORAL CAP
VA PRODUCT IDENTIFIER B0638
TRANSMIT TO CMOP NO
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4029588
EFFECTIVE DATE/TIME
  • 2010-02-09 00:00:00
    STATUS:   ACTIVE
  • 2017-11-02 00:00:00
    STATUS:   INACTIVE