ADEFLOR-M TAB (1281) VA PRODUCT (50.68)

Name	Value
NAME	ADEFLOR-M TAB
VA GENERIC NAME	MINERALS/MULTIVITAMINS
DOSAGE FORM	TAB,ORAL
ACTIVE INGREDIENTS	SUCROSE RIBOFLAVIN STRENGTH: 2.5 UNITS: MG VITAMIN A STRENGTH: 6000 UNITS: UNIT VITAMIN D STRENGTH: 400 UNITS: UNIT CALCIUM STRENGTH: 250 UNITS: MG IRON STRENGTH: 30 UNITS: MG NIACIN STRENGTH: 20 UNITS: MG FLUORIDE STRENGTH: 1 UNITS: MG PANTOTHENIC ACID STRENGTH: 10 UNITS: MG CYANOCOBALAMIN STRENGTH: 2 UNITS: MCG THIAMINE HYDROCHLORIDE STRENGTH: 1.5 UNITS: MG SORBITOL ASCORBIC ACID STRENGTH: 100 UNITS: MG PYRIDOXINE HYDROCHLORIDE STRENGTH: 19 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-28 00:00:00
DSS NUMBER	138
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
VA PRINT NAME	ADEFLOR-M TAB
VA PRODUCT IDENTIFIER	A0734
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4001882
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE