VITAMIN A 5000UNT/VITAMIN D 400UNT CAP (7874)    VA PRODUCT (50.68)

Name Value
NAME VITAMIN A 5000UNT/VITAMIN D 400UNT CAP
VA GENERIC NAME VITAMIN A/VITAMIN D
DOSAGE FORM CAP,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2009-11-04 00:00:00
DSS NUMBER 7
NATIONAL FORMULARY NAME VITAMIN A/VITAMIN D 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 VITAMIN A 5000/VITAMIN D 400 UNT CAP
VA PRODUCT IDENTIFIER V0041
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4008351
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2009-11-04 00:00:00
    STATUS:   INACTIVE