| NAME |
CALCIFEDIOL 30MCG CAP,SA |
| VA GENERIC NAME |
CALCIFEDIOL |
| DOSAGE FORM |
CAP,SA |
| ACTIVE INGREDIENTS |
|
| STRENGTH |
30 |
| UNITS |
MCG |
| NATIONAL FORMULARY NAME |
CALCIFEDIOL CAP,SA |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
CALCIFEDIOL 30MCG SA CAP |
| VA PRODUCT IDENTIFIER |
C1801 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
CAP |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4036223 |
| EFFECTIVE DATE/TIME |
-
- 2016-12-01 00:00:00
- STATUS: ACTIVE
|
