LEVOTHYROXINE NA 100MCG/LIOTHYRONINE NA 25MCG TAB (5877) VA PRODUCT (50.68)

Name	Value
NAME	LEVOTHYROXINE NA 100MCG/LIOTHYRONINE NA 25MCG TAB
VA GENERIC NAME	LEVOTHYROXINE/LIOTHYRONINE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	LEVOTHYROXINE SODIUM STRENGTH: 100 UNITS: MCG LIOTHYRONINE SODIUM STRENGTH: 25 UNITS: MCG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2012-10-03 00:00:00
DSS NUMBER	4
NATIONAL FORMULARY NAME	LEVOTHYROXINE/LIOTHYRONINE 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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4006400
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2012-10-03 00:00:00 STATUS: INACTIVE