AMINO ACIDS/THIAMINE 10MG CAP (7130) VA PRODUCT (50.68)

Name	Value
NAME	AMINO ACIDS/THIAMINE 10MG CAP
VA GENERIC NAME	ALANINE/GLUTAMIC ACID/GLYCINE/THIAMINE
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	ALANINE STRENGTH: 130 UNITS: MG GLUTAMIC ACID STRENGTH: 130 UNITS: MG THIAMINE HYDROCHLORIDE STRENGTH: 10 UNITS: MG GLYCINE STRENGTH: 130 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-18 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ALANINE/GLUTAMIC ACID/GLYCINE/THIAMINE CAP,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	AMINO ACIDS/THIAMINE 10MG CAP
VA PRODUCT IDENTIFIER	A0194
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4007640
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-18 00:00:00 STATUS: INACTIVE