GLYCINE 750MG/NIACIN 25MG/PYRIDOXINE 6MG PWDR,ORAL (7270) VA PRODUCT (50.68)

Name	Value
NAME	GLYCINE 750MG/NIACIN 25MG/PYRIDOXINE 6MG PWDR,ORAL
VA GENERIC NAME	GLYCINE/NIACIN/PYRIDOXINE
DOSAGE FORM	PWDR,RENST-ORAL
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	NIACIN STRENGTH: 25 UNITS: MG GLYCINE STRENGTH: 750 UNITS: MG PYRIDOXINE HYDROCHLORIDE STRENGTH: 6 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2003-08-01 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	GLYCINE/NIACIN/PYRIDOXINE PWDR,RENST-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	4007778
EFFECTIVE DATE/TIME	2003-08-01 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE