MULTIVITAMINS,THERAPEUTIC LIQUID (1500) VA PRODUCT (50.68)

Name	Value
NAME	MULTIVITAMINS,THERAPEUTIC LIQUID
VA GENERIC NAME	MULTIVITAMINS
DOSAGE FORM	LIQUID
ACTIVE INGREDIENTS	RIBOFLAVIN STRENGTH: 10 UNITS: MG/5ML VITAMIN A STRENGTH: 10000 UNITS: UNIT/5ML VITAMIN D STRENGTH: 400 UNITS: UNIT/5ML PYRIDOXINE STRENGTH: 4.1 UNITS: MG/5ML NIACIN STRENGTH: 100 UNITS: MG/5ML PANTOTHENIC ACID STRENGTH: 21.4 UNITS: MG/5ML CYANOCOBALAMIN STRENGTH: 5 UNITS: MCG/5ML ASCORBIC ACID STRENGTH: 200 UNITS: MG/5ML THIAMINE STRENGTH: 10 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
INACTIVATION DATE	2013-10-23 00:00:00
DSS NUMBER	44
NATIONAL FORMULARY NAME	MULTIVITAMINS LIQUID
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	MULTIVITAMIN THERAPEUTIC LIQUID
VA PRODUCT IDENTIFIER	M0233
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4002098
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE