MULTIVITAMINS/MINERALS CAP (1147) VA PRODUCT (50.68)

Name	Value
NAME	MULTIVITAMINS/MINERALS CAP
VA GENERIC NAME	MINERALS/MULTIVITAMINS
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	ERGOCALCIFEROL STRENGTH: 400 UNITS: UNIT FERROUS FUMARATE STRENGTH: 0 UNITS: NS NIACINAMIDE STRENGTH: 10 UNITS: MG RIBOFLAVIN STRENGTH: 2 UNITS: MG THIAMINE MONONITRATE STRENGTH: 2 UNITS: MG CALCIUM CARBONATE STRENGTH: 600 UNITS: MG POTASSIUM IODIDE STRENGTH: 0 UNITS: NS VITAMIN A STRENGTH: 4000 UNITS: UNIT CYANOCOBALAMIN STRENGTH: 2 UNITS: MCG ASCORBIC ACID STRENGTH: 50 UNITS: MG PYRIDOXINE HYDROCHLORIDE STRENGTH: 0.8 UNITS: MG FOLIC ACID STRENGTH: 1 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2010-01-20 00:00:00
DSS NUMBER	4
NATIONAL FORMULARY NAME	MINERALS/MULTIVITAMINS 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	MULTIVITAMIN/MINERALS CAP/TAB
VA PRODUCT IDENTIFIER	M0234
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP/TAB
MASTER ENTRY FOR VUID	YES
VUID	4001749
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2010-01-20 00:00:00 STATUS: INACTIVE