MULTIVITAMINS W/MINERALS,PRENATAL TAB (1174) VA PRODUCT (50.68)

Name	Value
NAME	MULTIVITAMINS W/MINERALS,PRENATAL TAB
VA GENERIC NAME	MINERALS/MULTIVITAMINS
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	RIBOFLAVIN STRENGTH: 3 UNITS: MG BIOTIN STRENGTH: 0.05 UNITS: MG VITAMIN A STRENGTH: 5000 UNITS: UNIT VITAMIN D STRENGTH: 400 UNITS: UNIT CALCIUM STRENGTH: 200 UNITS: MG IRON STRENGTH: 60 UNITS: MG ZINC STRENGTH: 15 UNITS: MG COPPER STRENGTH: 2 UNITS: MG IODINE STRENGTH: 150 UNITS: MG MAGNESIUM STRENGTH: 100 UNITS: MG PANTOTHENIC ACID STRENGTH: 15 UNITS: MG CYANOCOBALAMIN STRENGTH: 8 UNITS: MG ASCORBIC ACID STRENGTH: 90 UNITS: MG THIAMINE STRENGTH: 2.55 UNITS: MG PYRIDOXINE HYDROCHLORIDE STRENGTH: 10 UNITS: MG FOLIC ACID STRENGTH: 1 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2011-10-17 00:00:00
DSS NUMBER	31
NATIONAL FORMULARY NAME	MINERALS/MULTIVITAMINS TAB
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	MULTIVITAMINS W/MINERALS,PRENATAL TAB
VA PRODUCT IDENTIFIER	M0528
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4001776
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2011-10-17 00:00:00 STATUS: INACTIVE