VIT C 500MG/VIT A 5000UNT/VIT E 50UNT/ZN SO4 80MG CAP (1171) VA PRODUCT (50.68)

Name	Value
NAME	VIT C 500MG/VIT A 5000UNT/VIT E 50UNT/ZN SO4 80MG CAP
VA GENERIC NAME	MINERALS/MULTIVITAMINS
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	VITAMIN A STRENGTH: 5000 UNITS: UNIT ZINC SULFATE STRENGTH: 80 UNITS: MG VITAMIN E STRENGTH: 50 UNITS: UNIT ASCORBIC ACID STRENGTH: 500 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-28 00:00:00
DSS NUMBER	28
NATIONAL FORMULARY NAME	MINERALS/MULTIVITAMINS CAP,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	4001773
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE