VIT C 200MG/HESPERIDIN-HESPERIDIN ME CHALCONE 200MG TAB (8211) VA PRODUCT (50.68)

Name	Value
NAME	VIT C 200MG/HESPERIDIN-HESPERIDIN ME CHALCONE 200MG TAB
VA GENERIC NAME	ASCORBIC ACID/HESPERIDIN
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	HESPERIDIN METHYL CHALCONE STRENGTH: 50 UNITS: MG HESPERIDIN COMPLEX STRENGTH: 150 UNITS: MG ASCORBIC ACID STRENGTH: 200 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
DSS NUMBER	1
NATIONAL FORMULARY NAME	ASCORBIC ACID/HESPERIDIN 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	4008684
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE