MULTIVITAMINS/IRON 10MG/FLUORIDE 0.5MG/ML DROPS,ORAL (1160) VA PRODUCT (50.68)

Name	Value
NAME	MULTIVITAMINS/IRON 10MG/FLUORIDE 0.5MG/ML DROPS,ORAL
VA GENERIC NAME	MINERALS/MULTIVITAMINS
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	RIBOFLAVIN STRENGTH: 0.6 UNITS: MG/ML VITAMIN A STRENGTH: 1500 UNITS: UNIT/ML VITAMIN D STRENGTH: 400 UNITS: UNIT/ML IRON STRENGTH: 10 UNITS: MG/ML FLUORIDE STRENGTH: 0.5 UNITS: MG/ML ASCORBIC ACID STRENGTH: 35 UNITS: MG/ML THIAMINE STRENGTH: 0.5 UNITS: MG/ML PYRIDOXINE HYDROCHLORIDE STRENGTH: 0.4 UNITS: MG/ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
DSS NUMBER	17
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
VA PRINT NAME	MULTIVI/IRON/FLUORIDE 0.5MG/ML ORAL DROP
VA PRODUCT IDENTIFIER	M0752
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4001762
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE