DAILY MULTIVITAMIN TAB (1269) VA PRODUCT (50.68)

Name	Value
NAME	DAILY MULTIVITAMIN TAB
VA GENERIC NAME	MULTIVITAMINS
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	NICOTINIC ACID STRENGTH: 20 UNITS: MG CALCIUM PANTOTHENATE STRENGTH: 1 UNITS: MG NIACINAMIDE STRENGTH: 20 UNITS: MG RIBOFLAVIN STRENGTH: 1.7 UNITS: MG VITAMIN A STRENGTH: 5000 UNITS: UNIT VITAMIN D STRENGTH: 400 UNITS: UNIT VITAMIN E STRENGTH: 30 UNITS: MG PANTOTHENIC ACID STRENGTH: 10 UNITS: MG CYANOCOBALAMIN STRENGTH: 6 UNITS: MCG THIAMINE HYDROCHLORIDE STRENGTH: 2 UNITS: MG ASCORBIC ACID STRENGTH: 60 UNITS: MG THIAMINE STRENGTH: 1.5 UNITS: MG PYRIDOXINE HYDROCHLORIDE STRENGTH: 2 UNITS: MG FOLIC ACID STRENGTH: 0.4 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
INACTIVATION DATE	2020-01-15 00:00:00
DSS NUMBER	87
NATIONAL FORMULARY NAME	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 CAP/TAB
VA PRODUCT IDENTIFIER	V0022
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP/TAB
MASTER ENTRY FOR VUID	NO
VUID	4001871
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2005-12-08 00:00:00 STATUS: ACTIVE 2002-10-11 00:00:00 STATUS: INACTIVE 2020-01-15 00:00:00 STATUS: INACTIVE