MULTIVITAMINS/MINERALS PRENATAL TAB (1275) VA PRODUCT (50.68)

Name	Value
NAME	MULTIVITAMINS/MINERALS PRENATAL TAB
VA GENERIC NAME	MINERALS/MULTIVITAMINS
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	NIACINAMIDE STRENGTH: 20 UNITS: MG RIBOFLAVIN STRENGTH: 3 UNITS: MG THIAMINE MONONITRATE STRENGTH: 1.5 UNITS: MG VITAMIN C STRENGTH: 120MG UNITS: MG VITAMIN A STRENGTH: 4000 UNITS: UNIT VITAMIN D STRENGTH: 400 UNITS: UNIT CALCIUM STRENGTH: 200 UNITS: MG IRON STRENGTH: 65 UNITS: MG ZINC STRENGTH: 25 UNITS: MG COPPER STRENGTH: 2 UNITS: MG VITAMIN E STRENGTH: 11 UNITS: MG CYANOCOBALAMIN STRENGTH: 12 UNITS: MCG PYRIDOXINE HYDROCHLORIDE STRENGTH: 10 UNITS: MG FOLIC ACID STRENGTH: 1 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2011-10-17 00:00:00
DSS NUMBER	60
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	MULTIVITAMINS/MINERALS PRENATAL TAB
VA PRODUCT IDENTIFIER	M0750
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	NO
VUID	4001877
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2005-12-08 00:00:00 STATUS: ACTIVE 2011-10-17 00:00:00 STATUS: INACTIVE 2004-11-19 00:00:00 STATUS: INACTIVE 2011-10-17 00:00:00 STATUS: INACTIVE