| NAME |
CYANOCOBALAMIN 0.5MG/FOLIC ACID 2.2MG/PYRIDOXINE 25MG TAB |
| VA GENERIC NAME |
CYANOCOBALAMIN/FOLIC ACID/PYRIDOXINE |
| DOSAGE FORM |
TAB |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY NAME |
CYANOCOBALAMIN/FOLIC ACID/PYRIDOXINE TAB |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| 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 0.5/FA 2.2/PYRID 25MG TAB |
| VA PRODUCT IDENTIFIER |
C1732 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
TAB |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4034836 |
| EFFECTIVE DATE/TIME |
-
- 2015-09-28 00:00:00
- STATUS: ACTIVE
|
