STRESS FORMULA W/ZINC TAB (1210) VA PRODUCT (50.68)

Name	Value
NAME	STRESS FORMULA W/ZINC TAB
VA GENERIC NAME	MULTIVITAMINS/ZINC
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	CALCIUM PANTOTHENATE STRENGTH: 20 UNITS: MG RIBOFLAVIN STRENGTH: 10 UNITS: MG BIOTIN STRENGTH: 45 UNITS: MCG ZINC STRENGTH: 23.9 UNITS: MG COPPER VITAMIN E STRENGTH: 30 UNITS: UNIT PYRIDOXINE STRENGTH: 5 UNITS: MG NIACIN STRENGTH: 100 UNITS: MG PANTOTHENIC ACID STRENGTH: 20 UNITS: MG CYANOCOBALAMIN STRENGTH: 12 UNITS: MCG ASCORBIC ACID STRENGTH: 600 UNITS: MG THIAMINE STRENGTH: 15 UNITS: MG PYRIDOXINE HYDROCHLORIDE STRENGTH: 5 UNITS: MG FOLIC ACID STRENGTH: 0.4 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
INACTIVATION DATE	2013-10-24 00:00:00
DSS NUMBER	5
NATIONAL FORMULARY NAME	MULTIVITAMINS/ZINC 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	MULTIVITAMIN/MINERALS THERAPEUT CAP/TAB
VA PRODUCT IDENTIFIER	M0237
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP/TAB
MASTER ENTRY FOR VUID	NO
VUID	4001812
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2005-12-08 00:00:00 STATUS: ACTIVE 2002-10-11 00:00:00 STATUS: INACTIVE