VIT C 100MG/B12 15MCG/FE FUMARATE 275MG/FA 1MG CAP,SA (1159) VA PRODUCT (50.68)

Name	Value
NAME	VIT C 100MG/B12 15MCG/FE FUMARATE 275MG/FA 1MG CAP,SA
VA GENERIC NAME	MINERALS/MULTIVITAMINS
DOSAGE FORM	CAP,SA
ACTIVE INGREDIENTS	FERROUS FUMARATE STRENGTH: 275 UNITS: MG CYANOCOBALAMIN STRENGTH: 15 UNITS: MCG ASCORBIC ACID STRENGTH: 100 UNITS: MG FOLIC ACID STRENGTH: 1 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-28 00:00:00
DSS NUMBER	16
NATIONAL FORMULARY NAME	MINERALS/MULTIVITAMINS CAP,SA
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	4001761
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE