DAILY MULTIPLE VITAMIN W/IRON TAB (1233) VA PRODUCT (50.68)

Name	Value
NAME	DAILY MULTIPLE VITAMIN W/IRON TAB
VA GENERIC NAME	MINERALS/MULTIVITAMINS
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	CALCIUM PANTOTHENATE STRENGTH: 1 UNITS: MG FERROUS FUMARATE STRENGTH: 15 UNITS: MG NIACINAMIDE STRENGTH: 20 UNITS: MG RIBOFLAVIN STRENGTH: 2.5 UNITS: MG VITAMIN A STRENGTH: 5000 UNITS: UNIT VITAMIN D STRENGTH: 400 UNITS: UNIT CYANOCOBALAMIN STRENGTH: 1 UNITS: MCG THIAMINE HYDROCHLORIDE STRENGTH: 2 UNITS: MG ASCORBIC ACID STRENGTH: 50 UNITS: MG PYRIDOXINE HYDROCHLORIDE STRENGTH: 1 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
DSS NUMBER	90
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
VA PRINT NAME	MULTIVITAMIN/IRON CAP/TAB
VA PRODUCT IDENTIFIER	V0021
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP/TAB
MASTER ENTRY FOR VUID	YES
VUID	4001835
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE