IRON (POLYSACCHARIDE) 125MG/VITAMIN D3 300UNIT/5ML LIQUID,ORAL (27340)    VA PRODUCT (50.68)

Name Value
NAME IRON (POLYSACCHARIDE) 125MG/VITAMIN D3 300UNIT/5ML LIQUID,ORAL
VA GENERIC NAME IRON/VITAMIN D
DOSAGE FORM LIQUID,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2022-12-15 00:00:00
NATIONAL FORMULARY NAME IRON/VITAMIN D LIQUID,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 IRON 125MG/VIT D3 300UNIT/5ML ORAL LIQ
VA PRODUCT IDENTIFIER I0620
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4036240
EFFECTIVE DATE/TIME
  • 2016-12-13 00:00:00
    STATUS:   ACTIVE
  • 2021-06-15 00:00:00
    STATUS:   INACTIVE
  • 2021-06-15 00:00:00
    STATUS:   INACTIVE
  • 2021-08-16 00:00:00
    STATUS:   ACTIVE
  • 2021-06-15 00:00:00
    STATUS:   INACTIVE
  • 2021-11-04 00:00:00
    STATUS:   ACTIVE
  • 2022-12-15 00:00:00
    STATUS:   INACTIVE