IRON/LIVER/VITAMINS INJ (1172) VA PRODUCT (50.68)

Name	Value
NAME	IRON/LIVER/VITAMINS INJ
VA GENERIC NAME	MINERALS/MULTIVITAMINS
DOSAGE FORM	INJ
ACTIVE INGREDIENTS	CALCIUM PANTOTHENATE STRENGTH: 1.25 UNITS: MG/ML NIACINAMIDE STRENGTH: 50 UNITS: MG/ML RIBOFLAVIN STRENGTH: 0.75 UNITS: MG/ML FERROUS GLUCONATE STRENGTH: 25 UNITS: MG/ML CYANOCOBALAMIN STRENGTH: 15 UNITS: MCG/ML LIVER STRENGTH: 1 UNITS: MCG/ML SODIUM CITRATE STRENGTH: 11.8 UNITS: MG/ML CITRIC ACID STRENGTH: 8.2 UNITS: MG/ML PROCAINE HYDROCHLORIDE STRENGTH: 20 UNITS: MG/ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2003-07-31 00:00:00
DSS NUMBER	29
NATIONAL FORMULARY NAME	MINERALS/MULTIVITAMINS INJ
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	4001774
EFFECTIVE DATE/TIME	2003-07-31 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE