IRON CARBONYL 60MG/VITAMIN C 250MG W/FOS TAB,CHEWABLE (27698)    VA PRODUCT (50.68)

Name Value
NAME IRON CARBONYL 60MG/VITAMIN C 250MG W/FOS TAB,CHEWABLE
VA GENERIC NAME IRON/VITAMIN C
DOSAGE FORM TAB,CHEWABLE
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME IRON/VITAMIN C TAB,CHEWABLE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-07-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME IRON CARB 60MG/VITAMIN C W/FOS CHEW TAB
VA PRODUCT IDENTIFIER I0625
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4036638
EFFECTIVE DATE/TIME
  • 2017-05-09 00:00:00
    STATUS:   ACTIVE