THYROID 120MG TAB (68)    VA PRODUCT (50.68)

Name Value
NAME THYROID 120MG TAB
VA GENERIC NAME THYROID
DOSAGE FORM TAB
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 120
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG
DSS NUMBER 4
NATIONAL FORMULARY NAME THYROID 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 THYROID 120MG TAB
VA PRODUCT IDENTIFIER T0048
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4000691
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE