MINERALS W/MULTIVITAMINS TAB (1177) VA PRODUCT (50.68)

Name	Value
NAME	MINERALS W/MULTIVITAMINS TAB
VA GENERIC NAME	MINERALS/MULTIVITAMINS
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	NIACINAMIDE STRENGTH: 30 UNITS: MG RIBOFLAVIN STRENGTH: 5 UNITS: MG THIAMINE MONONITRATE STRENGTH: 10 UNITS: MG VITAMIN A STRENGTH: 10000 UNITS: UNIT VITAMIN D STRENGTH: 400 UNITS: UNIT IRON STRENGTH: 15 UNITS: MG ZINC STRENGTH: 1.5 UNITS: MG COPPER STRENGTH: 1 UNITS: MG VITAMIN E STRENGTH: 5 UNITS: UNIT IODINE STRENGTH: 150 UNITS: MCG MAGNESIUM STRENGTH: 5 UNITS: MG PANTOTHENIC ACID STRENGTH: 10 UNITS: MG MANGANESE STRENGTH: 1 UNITS: MG CYANOCOBALAMIN STRENGTH: 3 UNITS: MG ASCORBIC ACID STRENGTH: 100 UNITS: MG PYRIDOXINE HYDROCHLORIDE STRENGTH: 2 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
INACTIVATION DATE	2013-10-24 00:00:00
DSS NUMBER	34
NATIONAL FORMULARY NAME	MINERALS/MULTIVITAMINS TAB
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 CAP/TAB
VA PRODUCT IDENTIFIER	M0234
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP/TAB
MASTER ENTRY FOR VUID	YES
VUID	4001779
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE