VITAMIN B/VITAMIN C 500MG/FOLIC ACID 0.5MG TAB (1283) VA PRODUCT (50.68)

Name	Value
NAME	VITAMIN B/VITAMIN C 500MG/FOLIC ACID 0.5MG TAB
VA GENERIC NAME	MINERALS/MULTIVITAMINS
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	CALCIUM PANTOTHENATE STRENGTH: 8 UNITS: MG RIBOFLAVIN STRENGTH: 15 UNITS: MG PYRIDOXINE STRENGTH: 4 UNITS: MG NIACIN STRENGTH: 100 UNITS: MG CYANOCOBALAMIN STRENGTH: 5 UNITS: MCG THIAMINE HYDROCHLORIDE STRENGTH: 15 UNITS: MG ASCORBIC ACID STRENGTH: 500 UNITS: MG FOLIC ACID STRENGTH: 0.5 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2016-01-22 00:00:00
DSS NUMBER	140
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	VIT B/VIT C 500MG/FOLIC ACID 0.5MG TAB
VA PRODUCT IDENTIFIER	V0057
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4001884
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE