MULTIVITAMIN,PEDIATRIC INJ (1459) VA PRODUCT (50.68)

Name	Value
NAME	MULTIVITAMIN,PEDIATRIC INJ
VA GENERIC NAME	MULTIVITAMINS
DOSAGE FORM	INJ,SOLN
ACTIVE INGREDIENTS	ERGOCALCIFEROL STRENGTH: 440 UNITS: UNIT NIACINAMIDE STRENGTH: 18.7 UNITS: MG TOCOPHERYL ACETATE,DL-ALPHA STRENGTH: 7.7 UNITS: UNIT BIOTIN STRENGTH: 0.022 UNITS: MG VITAMIN A STRENGTH: 2875 UNITS: UNIT DEXPANTHENOL STRENGTH: 5.25 UNITS: MG RIBOFLAVIN PHOSPHATE SODIUM STRENGTH: 14.7 UNITS: MG CYANOCOBALAMIN STRENGTH: 1.25 UNITS: MG PHYTONADIONE STRENGTH: 0.24 UNITS: MG THIAMINE HYDROCHLORIDE STRENGTH: 1.5 UNITS: MG ASCORBIC ACID STRENGTH: 88 UNITS: MG PYRIDOXINE HYDROCHLORIDE STRENGTH: 1.1 UNITS: MG FOLIC ACID STRENGTH: 0.175 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2022-02-15 00:00:00
DSS NUMBER	3
NATIONAL FORMULARY NAME	MULTIVITAMINS INJ,SOLN
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 0 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	MULTIVITAMIN,PEDIATRIC INJ
VA PRODUCT IDENTIFIER	M0729
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4002058
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2022-02-15 00:00:00 STATUS: INACTIVE