MULTIVITAMINS/MINERALS,THERAPEUTIC TAB (1144) VA PRODUCT (50.68)

Name	Value
NAME	MULTIVITAMINS/MINERALS,THERAPEUTIC TAB
VA GENERIC NAME	MINERALS/MULTIVITAMINS
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	CALCIUM PANTOTHENATE STRENGTH: 11.7 UNITS: MG CUPRIC SULFATE,ANHYDROUS STRENGTH: 1.675 UNITS: MG ERGOCALCIFEROL STRENGTH: 3.3 UNITS: MCG FERROUS FUMARATE STRENGTH: 66.7 UNITS: MG MAGNESIUM CARBONATE STRENGTH: 41.7 UNITS: MG NIACINAMIDE STRENGTH: 33.3 UNITS: MG RIBOFLAVIN STRENGTH: 3.3 UNITS: MG THIAMINE MONONITRATE STRENGTH: 3.3 UNITS: MG TOCOPHERYL ACETATE,DL-ALPHA STRENGTH: 5 UNITS: MG TOCOPHERYL ACID SUCCINATE,D-ALPHA STRENGTH: 4.13 UNITS: MG VITAMIN A ACETATE STRENGTH: 8333 UNITS: UNIT CYANOCOBALAMIN STRENGTH: 50 UNITS: MCG SODIUM ASCORBATE STRENGTH: 113 UNITS: MG PYRIDOXINE HYDROCHLORIDE STRENGTH: 3.3 UNITS: MG FOLIC ACID STRENGTH: 0.33 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2013-12-18 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	MINERALS/MULTIVITAMINS 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
VA PRINT NAME	MULTIVITAMIN/MINERALS THERAPEUT CAP/TAB
VA PRODUCT IDENTIFIER	M0237
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP/TAB
MASTER ENTRY FOR VUID	YES
VUID	4001746
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE