FILIBON TAB (1257) VA PRODUCT (50.68)

Name	Value
NAME	FILIBON TAB
VA GENERIC NAME	MINERALS/MULTIVITAMINS
DOSAGE FORM	TAB,ORAL
ACTIVE INGREDIENTS	ERGOCALCIFEROL STRENGTH: 400 UNITS: UNIT FERROUS FUMARATE STRENGTH: 18 UNITS: MG NIACINAMIDE STRENGTH: 20 UNITS: MG RIBOFLAVIN STRENGTH: 1.7 UNITS: MG THIAMINE MONONITRATE STRENGTH: 1.5 UNITS: MG TOCOPHERYL ACETATE,DL-ALPHA STRENGTH: 30 UNITS: UNIT VITAMIN A ACETATE STRENGTH: 5000 UNITS: UNIT MAGNESIUM OXIDE STRENGTH: 100 UNITS: MG CALCIUM CARBONATE STRENGTH: 125 UNITS: MG POTASSIUM IODIDE STRENGTH: 150 UNITS: MCG CYANOCOBALAMIN STRENGTH: 6 UNITS: MCG ASCORBIC ACID STRENGTH: 60 UNITS: MG PYRIDOXINE HYDROCHLORIDE STRENGTH: 2 UNITS: MG FOLIC ACID STRENGTH: 0.4 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2003-07-31 00:00:00
DSS NUMBER	114
NATIONAL FORMULARY NAME	MINERALS/MULTIVITAMINS TAB,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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4001859
EFFECTIVE DATE/TIME	2003-07-31 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE