CHOLINE MAGNESIUM TRISALICYLATE 500MG/5ML LIQUID (4228) VA PRODUCT (50.68)

Name	Value
NAME	CHOLINE MAGNESIUM TRISALICYLATE 500MG/5ML LIQUID
VA GENERIC NAME	CHOLINE SALICYLATE/MAGNESIUM SALICYLATE
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	CHOLINE SALICYLATE STRENGTH: 293 UNITS: MG/5ML MAGNESIUM SALICYLATE STRENGTH: 362 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	500
SINGLE/MULTI SOURCE PRODUCT	Single source
UNITS	MG/5ML
DSS NUMBER	4
NATIONAL FORMULARY NAME	CHOLINE SALICYLATE/MAGNESIUM SALICYLATE 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	CHOLINE MG TRISAL 500MG/5ML LIQUID
VA PRODUCT IDENTIFIER	C0448
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4004780
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE