ASCORBIC ACID 125MG/IRON 65MG TAB (25639) VA PRODUCT (50.68)

Name	Value
NAME	ASCORBIC ACID 125MG/IRON 65MG TAB
VA GENERIC NAME	ASCORBIC ACID/IRON
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	IRON STRENGTH: 65 UNITS: MG ASCORBIC ACID STRENGTH: 125 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	ASCORBIC ACID/IRON TAB
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	ASCORBIC ACID 125MG/IRON 65MG TAB
VA PRODUCT IDENTIFIER	A1800
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4034382
EFFECTIVE DATE/TIME	2015-04-17 00:00:00 STATUS: ACTIVE