CYANOCOBALAMIN 500MCG/FOLIC ACID 1MG TAB (24798) VA PRODUCT (50.68)

Name	Value
NAME	CYANOCOBALAMIN 500MCG/FOLIC ACID 1MG TAB
VA GENERIC NAME	CYANOCOBALAMIN/FOLIC ACID
DOSAGE FORM	TAB,ORAL
ACTIVE INGREDIENTS	CYANOCOBALAMIN STRENGTH: 500 UNITS: MCG FOLIC ACID STRENGTH: 1 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	CYANOCOBALAMIN/FOLIC ACID TAB,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	CYANOCOBALAMIN 500MCG/FOLIC ACID 1MG TAB
VA PRODUCT IDENTIFIER	C1632
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4033429
EFFECTIVE DATE/TIME	2014-06-23 00:00:00 STATUS: ACTIVE