| NAME |
RESTFUL LEGS TAB RAPID DISINTEGRATING |
| VA GENERIC NAME |
MULTIVITAMIN,HERBAL |
| DOSAGE FORM |
TAB,RAPID DISINTEGRATE |
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY NAME |
MULTIVITAMIN,HERBAL TAB,RAPID DISINTEGRATE |
| 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 |
RESTFUL LEGS TAB RAPID DISINTEGRATING |
| VA PRODUCT IDENTIFIER |
R0275 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
TAB |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4030331 |
| EFFECTIVE DATE/TIME |
-
- 2011-01-11 00:00:00
- STATUS: ACTIVE
|
