CHOLECALCIFEROL 400UNIT CAP,ORAL (25512)    VA PRODUCT (50.68)

Name Value
NAME CHOLECALCIFEROL 400UNIT CAP,ORAL
VA GENERIC NAME CHOLECALCIFEROL
DOSAGE FORM CAP,ORAL
FORMULARY DESIGNATOR TEXT 
VITAMIN D (CHOLECALCIFEROL OR ERGOCALCIFEROL 400 Unit to 2000 Unit)
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 400
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2020-10-15 00:00:00
UNITS UNIT
NATIONAL FORMULARY NAME CHOLECALCIFEROL CAP,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 CHOLECALCIFEROL (VIT D3) 400UNIT CAP
VA PRODUCT IDENTIFIER C1697
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4034236
EFFECTIVE DATE/TIME
  • 2015-02-26 00:00:00
    STATUS:   ACTIVE
  • 2020-10-15 00:00:00
    STATUS:   INACTIVE
  • 2020-10-15 00:00:00
    STATUS:   INACTIVE
  • 2020-10-15 00:00:00
    STATUS:   INACTIVE