LIPOFLAVONOID TAB (12142) VA PRODUCT (50.68)

Name	Value
NAME	LIPOFLAVONOID TAB
VA GENERIC NAME	LIPOFLAVONOID
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	RIBOFLAVIN STRENGTH: 0.3 UNITS: MG PYRIDOXINE STRENGTH: 0.3 UNITS: MG BIOFLAVONOID COMPOUND STRENGTH: 100 UNITS: MG PANTOTHENIC ACID STRENGTH: 1.7 UNITS: MG INOSITOL STRENGTH: 111.3 UNITS: MG CHOLINE STRENGTH: 111.3 UNITS: MG CYANOCOBALAMIN STRENGTH: 1.7 UNITS: MCG THIAMINE HYDROCHLORIDE STRENGTH: 0.3 UNITS: MG ASCORBIC ACID STRENGTH: 100 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
DSS NUMBER	1
NATIONAL FORMULARY NAME	LIPOFLAVONOID 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	LIPOFLAVONOID TAB
VA PRODUCT IDENTIFIER	L0132
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4012508
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE