IRON HEME POLYPEPTIDE 12MG TAB,ORAL (24309)    VA PRODUCT (50.68)

Name Value
NAME IRON HEME POLYPEPTIDE 12MG TAB,ORAL
VA GENERIC NAME IRON HEME POLYPEPTIDE
DOSAGE FORM TAB,ORAL
ACTIVE INGREDIENTS
  • IRON
    STRENGTH:   12
    UNITS:   MG
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 12
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG
NATIONAL FORMULARY NAME IRON HEME POLYPEPTIDE TAB,ORAL
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE 1x Possible Dosage
PACKAGE Both Inpatient and Outpatient
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 IRON HEME POLYPEPTIDE 12MG ORAL TAB
VA PRODUCT IDENTIFIER I0569
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4032866
EFFECTIVE DATE/TIME
  • 2013-11-20 00:00:00
    STATUS:   ACTIVE