MULTIVITAMINS/FERROUS SO4 10MG/FLUORIDE 0.25MG/ML DROPS,ORAL (1150) VA PRODUCT (50.68)

Name	Value
NAME	MULTIVITAMINS/FERROUS SO4 10MG/FLUORIDE 0.25MG/ML DROPS,ORAL
VA GENERIC NAME	MINERALS/MULTIVITAMINS
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	ERGOCALCIFEROL STRENGTH: 400 UNITS: UNIT/ML NIACINAMIDE STRENGTH: 8 UNITS: MG/ML TOCOPHERYL ACID SUCCINATE,D-ALPHA STRENGTH: 4.1 UNITS: MG/ML VITAMIN D STRENGTH: 400 UNITS: UNIT/ML FERROUS SULFATE STRENGTH: 10 UNITS: MG/ML SODIUM FLUORIDE STRENGTH: 0.25 UNITS: MG/ML RIBOFLAVIN PHOSPHATE SODIUM STRENGTH: 0.6 UNITS: MG/ML THIAMINE HYDROCHLORIDE STRENGTH: 0.5 UNITS: MG/ML ASCORBIC ACID STRENGTH: 35 UNITS: MG/ML PYRIDOXINE HYDROCHLORIDE STRENGTH: 0.4 UNITS: MG/ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2008-09-30 00:00:00
DSS NUMBER	7
NATIONAL FORMULARY NAME	MINERALS/MULTIVITAMINS LIQUID,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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4001752
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-30 00:00:00 STATUS: INACTIVE