| Date | Created By | Note | Status | Action |
|---|---|---|---|---|
| Date: | Created By: | Status: | | |
| PF Code | 0 |
|---|---|
| Catalog Number | 6197 |
| Medicare covered | No |
| Web only | No |
| FSA covered | No |
| IsFoodItem | No |
| UPC Code | 350844329080 |
| Product Brand | Quality Plus |
| Form | Tablets |
| Strength | 25 mg |
| Sterile | No |
| Pack Size | Box of 24 |
| Brand | Quality Plus |