CYANOCOBALAMIN 12.5MCG/THIAMINE 5.5MG/5ML LIQUID (230) VA PRODUCT (50.68)

Name	Value
NAME	CYANOCOBALAMIN 12.5MCG/THIAMINE 5.5MG/5ML LIQUID
VA GENERIC NAME	CYANOCOBALAMIN/THIAMINE
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	ALCOHOL STRENGTH: 7.5 UNITS: % CYANOCOBALAMIN STRENGTH: 12.5 UNITS: MCG/5ML THIAMINE HYDROCHLORIDE STRENGTH: 5.5 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2015-09-18 00:00:00
DSS NUMBER	4
NATIONAL FORMULARY NAME	CYANOCOBALAMIN/THIAMINE LIQUID,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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4000852
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE