VITAMIN A PALMITATE 15000 UNT TAB (3502)    VA PRODUCT (50.68)

Name Value
NAME VITAMIN A PALMITATE 15000 UNT TAB
VA GENERIC NAME VITAMIN A
DOSAGE FORM TAB
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 15000
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS UNIT
DSS NUMBER 17
NATIONAL FORMULARY NAME VITAMIN A TAB
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 VITAMIN A PALMITATE 15000 UNT TAB
VA PRODUCT IDENTIFIER V0081
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4004065
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2010-02-18 00:00:00
    STATUS:   INACTIVE
  • 2011-03-04 00:00:00
    STATUS:   ACTIVE