MULTIVITAMINS/MINERALS,THERAPEUTIC CAP (1164) VA PRODUCT (50.68)

Name	Value
NAME	MULTIVITAMINS/MINERALS,THERAPEUTIC CAP
VA GENERIC NAME	MINERALS/MULTIVITAMINS
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	CALCIUM PANTOTHENATE STRENGTH: 10 UNITS: MG NIACINAMIDE STRENGTH: 25 UNITS: MG RIBOFLAVIN STRENGTH: 5 UNITS: MG THIAMINE MONONITRATE STRENGTH: 10 UNITS: MG VITAMIN A STRENGTH: 8000 UNITS: UNIT ZINC SULFATE STRENGTH: 80 UNITS: MG VITAMIN E STRENGTH: 50 UNITS: UNIT MANGANESE CHLORIDE STRENGTH: 4 UNITS: MG CYANOCOBALAMIN STRENGTH: 10 UNITS: MCG MAGNESIUM SULFATE STRENGTH: 70 UNITS: MG ASCORBIC ACID STRENGTH: 150 UNITS: MG PYRIDOXINE HYDROCHLORIDE STRENGTH: 2 UNITS: MG FOLIC ACID STRENGTH: 1 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
INACTIVATION DATE	2013-12-18 00:00:00
DSS NUMBER	21
NATIONAL FORMULARY NAME	MINERALS/MULTIVITAMINS CAP,ORAL
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	MULTIVITAMIN/MINERALS THERAPEUT CAP/TAB
VA PRODUCT IDENTIFIER	M0237
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP/TAB
MASTER ENTRY FOR VUID	YES
VUID	4001766
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE