VITAMIN-MINERAL-SUPPLEMENT LIQUID (1205) VA PRODUCT (50.68)

Name	Value
NAME	VITAMIN-MINERAL-SUPPLEMENT LIQUID
VA GENERIC NAME	MINERALS/MULTIVITAMINS
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	ALCOHOL STRENGTH: 18 UNITS: % NIACINAMIDE STRENGTH: 50 UNITS: MG/30ML RIBOFLAVIN STRENGTH: 2.5 UNITS: MG/30ML IRON STRENGTH: 15 UNITS: MG/30ML ZINC STRENGTH: 2 UNITS: MG/30ML IODINE STRENGTH: 100 UNITS: MCG/30ML PYRIDOXINE STRENGTH: 1 UNITS: MG/30ML MAGNESIUM STRENGTH: 2 UNITS: MG/30ML PANTOTHENIC ACID STRENGTH: 10 UNITS: MG/30ML CHOLINE STRENGTH: 100 UNITS: MG/30ML MANGANESE STRENGTH: 2 UNITS: MG/30ML CYANOCOBALAMIN STRENGTH: 1 UNITS: MCG/30ML THIAMINE STRENGTH: 5 UNITS: MG/30ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2008-09-03 00:00:00
DSS NUMBER	62
NATIONAL FORMULARY NAME	MINERALS/MULTIVITAMINS LIQUID,ORAL
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	MULTIVITAMIN/MINERALS LIQUID
VA PRODUCT IDENTIFIER	M0236
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4001807
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-03 00:00:00 STATUS: INACTIVE