MULTIVITAMINS W/MINERALS LIQUID (1261) VA PRODUCT (50.68)

Name	Value
NAME	MULTIVITAMINS W/MINERALS LIQUID
VA GENERIC NAME	MINERALS/MULTIVITAMINS
DOSAGE FORM	LIQUID
HAZARDOUS TO DISPOSE	NO
DOT SHIPPING CODE
ACTIVE INGREDIENTS	ALCOHOL STRENGTH: 18 UNITS: % CALCIUM PANTOTHENATE STRENGTH: 0.7 UNITS: MG/5ML RIBOFLAVIN STRENGTH: 1 UNITS: MG/5ML IRON STRENGTH: 11.8 UNITS: MG/5ML COPPER STRENGTH: 0.22 UNITS: MG/5ML IODINE STRENGTH: 16.7 UNITS: MCG/5ML PYRIDOXINE STRENGTH: 0.17 UNITS: MG/5ML PANTOTHENIC ACID STRENGTH: 1.67 UNITS: MG/5ML LIVER FRACTION STRENGTH: 166.7 UNITS: MG/5ML CHOLINE STRENGTH: 16.7 UNITS: MG/5ML CYANOCOBALAMIN STRENGTH: 1.7 UNITS: MCG/5ML THIAMINE STRENGTH: 1 UNITS: MG/5ML PYRIDOXINE HYDROCHLORIDE STRENGTH: 1 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2004-11-19 00:00:00
DSS NUMBER	133
NATIONAL FORMULARY NAME	MINERALS/MULTIVITAMINS LIQUID
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	NO
VUID	4001863
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2005-12-08 00:00:00 STATUS: ACTIVE 2004-11-19 00:00:00 STATUS: INACTIVE 2010-11-30 00:00:00 STATUS: INACTIVE