PRENATAL-S TAB (1227) VA PRODUCT (50.68)

Name	Value
NAME	PRENATAL-S TAB
VA GENERIC NAME	MINERALS/MULTIVITAMINS
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	RIBOFLAVIN STRENGTH: 1.7 UNITS: MG VITAMIN A STRENGTH: 4000 UNITS: IU VITAMIN D STRENGTH: 400 UNITS: IU CALCIUM STRENGTH: 200 UNITS: MG IRON STRENGTH: 60 UNITS: MG ZINC STRENGTH: 25 UNITS: MG VITAMIN E STRENGTH: 11 UNITS: MG NIACIN STRENGTH: 18 UNITS: MG CYANOCOBALAMIN STRENGTH: 4 UNITS: MCG ASCORBIC ACID STRENGTH: 100 UNITS: MG THIAMINE STRENGTH: 1.5 UNITS: MG PYRIDOXINE HYDROCHLORIDE STRENGTH: 2.6 UNITS: MG FOLIC ACID STRENGTH: 0.8 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
DSS NUMBER	84
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	4001829
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE