VITAMIN B/VITAMIN C 100MG/ML INJ (PN) (1458) VA PRODUCT (50.68)

Name	Value
NAME	VITAMIN B/VITAMIN C 100MG/ML INJ (PN)
VA GENERIC NAME	MULTIVITAMINS
DOSAGE FORM	INJ
ACTIVE INGREDIENTS	ERGOCALCIFEROL STRENGTH: 200 UNITS: UNIT/ML NIACINAMIDE STRENGTH: 40 UNITS: MG/ML BIOTIN STRENGTH: 60 UNITS: MCG/ML DEXPANTHENOL STRENGTH: 15 UNITS: MG/ML VITAMIN A PALMITATE STRENGTH: 3300 UNITS: UNIT/ML CYANOCOBALAMIN STRENGTH: 5 UNITS: MCG/ML RIBOFLAVIN PHOSPHATE STRENGTH: 3.6 UNITS: MG/ML TOCOPHEROL,DL-ALPHA STRENGTH: 10 UNITS: UNIT/ML THIAMINE HYDROCHLORIDE STRENGTH: 3 UNITS: MG/ML ASCORBIC ACID STRENGTH: 100 UNITS: MG/ML PYRIDOXINE HYDROCHLORIDE STRENGTH: 4 UNITS: MG/ML FOLIC ACID STRENGTH: 400 UNITS: MCG/ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2010-02-04 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	MULTIVITAMINS INJ
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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4002057
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-21 00:00:00 STATUS: INACTIVE 2007-10-10 00:00:00 STATUS: ACTIVE 2010-02-04 00:00:00 STATUS: INACTIVE