CHOLECALCIFEROL 4,000UNIT CAP,ORAL (26319)    VA PRODUCT (50.68)

Name Value
NAME CHOLECALCIFEROL 4,000UNIT 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 4000
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) 4,000UNIT CAP
VA PRODUCT IDENTIFIER C1745
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4035122
EFFECTIVE DATE/TIME
  • 2015-11-25 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