VITAMIN B COMPLEX W/C & B-12 INJ (1482) VA PRODUCT (50.68)

Name	Value
NAME	VITAMIN B COMPLEX W/C & B-12 INJ
VA GENERIC NAME	MULTIVITAMINS
DOSAGE FORM	INJ
ACTIVE INGREDIENTS	NIACINAMIDE STRENGTH: 125 UNITS: MG/ML RIBOFLAVIN STRENGTH: 5 UNITS: MG/ML DEXPANTHENOL STRENGTH: 6 UNITS: MG/ML RIBOFLAVIN PHOSPHATE SODIUM STRENGTH: 5 UNITS: MG/ML CYANOCOBALAMIN STRENGTH: 1000 UNITS: MCG/ML D-PANTHENOL STRENGTH: 6 UNITS: MG/ML BENZYL ALCOHOL STRENGTH: 1 UNITS: % THIAMINE HYDROCHLORIDE STRENGTH: 50 UNITS: MG/ML ASCORBIC ACID STRENGTH: 50 UNITS: MG/ML PYRIDOXINE HYDROCHLORIDE STRENGTH: 5 UNITS: MG/ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2004-11-19 00:00:00
DSS NUMBER	111
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	NO
VUID	4002081
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2005-12-08 00:00:00 STATUS: ACTIVE 2004-11-19 00:00:00 STATUS: INACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE