MULTIVITAMINS W/FLUORIDE 0.25MG/ML DROPS,ORAL (1277) VA PRODUCT (50.68)

Name	Value
NAME	MULTIVITAMINS W/FLUORIDE 0.25MG/ML DROPS,ORAL
VA GENERIC NAME	FLUORIDE/MULTIVITAMINS
DOSAGE FORM	DROPS,ORAL
ACTIVE INGREDIENTS	NIACINAMIDE STRENGTH: 8 UNITS: MG/ML RIBOFLAVIN STRENGTH: 0.6 UNITS: MG/ML VITAMIN A STRENGTH: 1500 UNITS: UNIT/ML VITAMIN D STRENGTH: 400 UNITS: UNIT/ML IRON STRENGTH: 10 UNITS: MG/ML VITAMIN E STRENGTH: 5 UNITS: UNIT/ML NIACIN STRENGTH: 8 UNITS: MG/ML FLUORIDE STRENGTH: 0.25 UNITS: MG/ML CYANOCOBALAMIN STRENGTH: 2 UNITS: MG/ML ASCORBIC ACID STRENGTH: 35 UNITS: MG/ML THIAMINE STRENGTH: 0.5 UNITS: MG/ML PYRIDOXINE HYDROCHLORIDE STRENGTH: 0.4 UNITS: MG/ML
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	0.25
SINGLE/MULTI SOURCE PRODUCT	Multisource
INACTIVATION DATE	2004-11-18 00:00:00
UNITS	MG/ML
DSS NUMBER	19
NATIONAL FORMULARY NAME	FLUORIDE/MULTIVITAMINS DROPS,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
VA PRINT NAME	MULTIVIT W/FLUORIDE 0.25MG/ML ORAL DROPS
VA PRODUCT IDENTIFIER	M1223
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	NO
VUID	4001878
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2005-12-08 00:00:00 STATUS: ACTIVE 2004-11-18 00:00:00 STATUS: INACTIVE