O-CAL FA TAB (1204) VA PRODUCT (50.68)

Name	Value
NAME	O-CAL FA TAB
VA GENERIC NAME	MINERALS/MULTIVITAMINS
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	RIBOFLAVIN STRENGTH: 3 UNITS: MG VITAMIN A STRENGTH: 500 UNITS: IU VITAMIN D STRENGTH: 400 UNITS: IU CALCIUM STRENGTH: 200 UNITS: MG IRON STRENGTH: 66 UNITS: MG ZINC STRENGTH: 15 UNITS: MG COPPER STRENGTH: 2 UNITS: MG IODINE STRENGTH: 150 UNITS: MCG MAGNESIUM STRENGTH: 100 UNITS: MG SODIUM FLUORIDE STRENGTH: 1.1 UNITS: MG CYANOCOBALAMIN STRENGTH: 12 UNITS: MCG ASCORBIC ACID STRENGTH: 90 UNITS: MG THIAMINE STRENGTH: 3 UNITS: MG PYRIDOXINE HYDROCHLORIDE STRENGTH: 4 UNITS: MG FOLIC ACID STRENGTH: 1 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2010-01-20 00:00:00
DSS NUMBER	61
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	4001806
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2010-01-20 00:00:00 STATUS: INACTIVE