VIT B/ESTROGENS/METHAMPHETAMINE/METHYLTESTOSTERONE LIQUID (4480) VA PRODUCT (50.68)

Name	Value
NAME	VIT B/ESTROGENS/METHAMPHETAMINE/METHYLTESTOSTERONE LIQUID
VA GENERIC NAME	CYANOCOBALAMIN/ESTROGENS/METHAMPHETAMINE/METHYLTESTOSTERONE/THIA
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	ESTROGENS,CONJUGATED STRENGTH: 0.25 UNITS: MG METHAMPHETAMINE HYDROCHLORIDE STRENGTH: 1 UNITS: MG ALCOHOL,DENATURED STRENGTH: 15 UNITS: % METHYLTESTOSTERONE STRENGTH: 2.5 UNITS: MG CYANOCOBALAMIN STRENGTH: 1.5 UNITS: MCG THIAMINE HYDROCHLORIDE STRENGTH: 5 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-28 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	CYANOCOBALAMIN/ESTROGENS/METHAMPHETAMINE/METHYLTESTOSTERONE/THIA 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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4005027
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE