| NAME |
CALCIUM 500MG/MAGNESIUM 10MG/VIT D 500 UNT/VIT K 20MCG TAB,CHEW |
| VA GENERIC NAME |
CALCIUM/MAGNESIUM/VITAMIN D/VITAMIN K |
| DOSAGE FORM |
TAB,CHEWABLE |
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY NAME |
CALCIUM/MAGNESIUM/VITAMIN D/VITAMIN K TAB,CHEWABLE |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-04-01 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
CA 500/MAG10/VIT D 500/VIT K 20 CHEW TAB |
| VA PRODUCT IDENTIFIER |
C1809 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
TAB |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4036413 |
| EFFECTIVE DATE/TIME |
-
- 2017-02-15 00:00:00
- STATUS: ACTIVE
|