MULTIVITAMINS/MINERALS ELIXIR (1158) VA PRODUCT (50.68)

Name	Value
NAME	MULTIVITAMINS/MINERALS ELIXIR
VA GENERIC NAME	MINERALS/MULTIVITAMINS
DOSAGE FORM	ELIXIR
ACTIVE INGREDIENTS	NIACINAMIDE STRENGTH: 40 UNITS: MG/45ML ZINC SULFATE STRENGTH: 15 UNITS: MG/45ML IRON STRENGTH: 36 UNITS: MG/45ML DEXPANTHENOL STRENGTH: 10 UNITS: MG/45ML MANGANESE SULFATE STRENGTH: 4 UNITS: MG/45ML CYANOCOBALAMIN STRENGTH: 12 UNITS: MCG/45ML PYRIDOXINE HYDROCHLORIDE STRENGTH: 4 UNITS: MG/45ML FOLIC ACID STRENGTH: 1 UNITS: MG/45ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
INACTIVATION DATE	2013-10-23 00:00:00
DSS NUMBER	15
NATIONAL FORMULARY NAME	MINERALS/MULTIVITAMINS ELIXIR
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 LIQUID
VA PRODUCT IDENTIFIER	M0236
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4001760
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE