GLUTOFAC TAB (1239) VA PRODUCT (50.68)

Name	Value
NAME	GLUTOFAC TAB
VA GENERIC NAME	MINERALS/MULTIVITAMINS
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	CALCIUM PANTOTHENATE STRENGTH: 20 UNITS: MG NIACINAMIDE STRENGTH: 50 UNITS: MG RIBOFLAVIN STRENGTH: 10 UNITS: MG IRON COPPER MAGNESIUM STRENGTH: 133 UNITS: MG CHROMIUM COMPLEX STRENGTH: 25 UNITS: MCG PHOSPHORUS POTASSIUM MANGANESE SELENIUM STRENGTH: 25 UNITS: MCG ASCORBIC ACID STRENGTH: 300 UNITS: MG THIAMINE STRENGTH: 15 UNITS: MG PYRIDOXINE HYDROCHLORIDE STRENGTH: 50 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
DSS NUMBER	96
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	GLUTOFAC TAB
VA PRODUCT IDENTIFIER	G0056
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4001841
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE