BABY VITAMINS W/IRON DROPS,ORAL (1220) VA PRODUCT (50.68)

Name	Value
NAME	BABY VITAMINS W/IRON DROPS,ORAL
VA GENERIC NAME	MINERALS/MULTIVITAMINS
DOSAGE FORM	DROPS,ORAL
ACTIVE INGREDIENTS	RIBOFLAVIN STRENGTH: 0.6 UNITS: MG/ML VITAMIN A STRENGTH: 2500 UNITS: IU VITAMIN D STRENGTH: 400 UNITS: IU IRON STRENGTH: 10 UNITS: MG/ML VITAMIN E STRENGTH: 5 UNITS: MG/ML NIACIN STRENGTH: 8 UNITS: MG/ML ASCORBIC ACID STRENGTH: 35 UNITS: MG/ML THIAMINE STRENGTH: 0.5 UNITS: MG PYRIDOXINE HYDROCHLORIDE STRENGTH: 0.4 UNITS: MG/ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
INACTIVATION DATE	2018-12-03 00:00:00
DSS NUMBER	77
NATIONAL FORMULARY NAME	MINERALS/MULTIVITAMINS DROPS,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	BABY VITAMINS W/IRON ORAL DROPS
VA PRODUCT IDENTIFIER	B0639
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4001822
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2018-12-03 00:00:00 STATUS: INACTIVE