FOSFREE TAB (1195) VA PRODUCT (50.68)

Name	Value
NAME	FOSFREE TAB
VA GENERIC NAME	MINERALS/MULTIVITAMINS
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	RIBOFLAVIN STRENGTH: 2 UNITS: MG VITAMIN A STRENGTH: 1500 UNITS: UNIT VITAMIN D STRENGTH: 150 UNITS: UNIT CALCIUM IRON STRENGTH: 145 UNITS: MG PYRIDOXINE STRENGTH: 3 UNITS: MG PANTOTHENIC ACID STRENGTH: 1 UNITS: MG CYANOCOBALAMIN STRENGTH: 2 UNITS: MCG ASCORBIC ACID STRENGTH: 50 UNITS: MG THIAMINE STRENGTH: 5 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
DSS NUMBER	52
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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4001797
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE