CYANOCOBALAMIN 500MCG/0.1ML ACTUAT SPRAY,NASAL,1.3ML (22710)    VA PRODUCT (50.68)

Name Value
NAME CYANOCOBALAMIN 500MCG/0.1ML ACTUAT SPRAY,NASAL,1.3ML
VA GENERIC NAME CYANOCOBALAMIN
DOSAGE FORM SOLN,NASAL
ACTIVE INGREDIENTS
STRENGTH 500
UNITS MCG/0.1ML
NATIONAL FORMULARY NAME CYANOCOBALAMIN SOLN,NASAL
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 CYANOCOBALAMIN 500MCG 4D NASAL SPRAY
VA PRODUCT IDENTIFIER C1493
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4031045
EFFECTIVE DATE/TIME
  • 2011-10-11 00:00:00
    STATUS:   ACTIVE