ZENATE ADVANCED FORMULA TAB (1284) VA PRODUCT (50.68)

Name	Value
NAME	ZENATE ADVANCED FORMULA TAB
VA GENERIC NAME	MINERALS/MULTIVITAMINS
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	RIBOFLAVIN VITAMIN D STRENGTH: 400 UNITS: UNIT CALCIUM IRON STRENGTH: 65 UNITS: MG ZINC STRENGTH: 15 UNITS: MG VITAMIN E STRENGTH: 10 UNITS: UNIT IODINE MAGNESIUM NIACIN SELENIUM CYANOCOBALAMIN VITAMIN A (AS PALMITATE & BETA CAROTENE) STRENGTH: 4000 UNITS: UNIT ASCORBIC ACID STRENGTH: 70 UNITS: MG THIAMINE PYRIDOXINE HYDROCHLORIDE FOLIC ACID STRENGTH: 1 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2003-07-31 00:00:00
DSS NUMBER	141
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	ZENATE ADVANCED FORMULA TAB
VA PRODUCT IDENTIFIER	Z0021
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4001885
EFFECTIVE DATE/TIME	2003-07-31 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE